İrredüktable Eksternal Rektal Prolapsusa Eşlik Eden Premalign Villöz Adenom

Yıl 2025, Cilt: 4 Sayı: 2, 34 - 39, 30.06.2025

Sami Açar , Çağıl Karaevli

https://doi.org/10.59518/farabimedj.1587993

Öz

Rektal prolapsus (veya prosidensia), rektum duvarının tam katmanlı olarak, çevresel şekilde anüsten kısmen ya da tamamen dışarıya protrüze olduğu bir durumdur. Etiyolojisi tam olarak açıklığa kavuşmamış olmakla birlikte, günümüzde pelvik taban hastalığı olarak kabul edilmektedir. Henüz ideal tedavi yöntemi netleşmemiş olsa da, cerrahi müdahale tek kesin çözüm olarak kabul edilmektedir. Farklı cerrahi tedavi yöntemleri tanımlanmış olup, hangi yöntemin tercih edileceği hastanın genel durumu, semptomları, barsak alışkanlıkları, anatomik yapısı ve preoperatif beklentilerine göre belirlenmektedir. Nadir durumlarda, redundant kolon varlığında gelişen rektal prolapsus, ampulla recti'de yerleşmiş kitle lezyonu ile birlikte görülebilir. Tam katmanlı rektal prolapsus ile başvuran ve tedavisinde onkolojik prensiplere uyulması gereken olgumuz, bu duruma bir örnek olarak sunulmaktadır.

Anahtar Kelimeler

Adenom , İntussusepsiyon , Kolon polipleri , Perineal prosedür , Rektal prolapsus

Premalignant Villous Adenoma Accompanying Irreducible External Rectal Prolapse

Öz

Rectal prolapse (or prosidensia) is a condition in which the rectal wall partially or completely protrudes from the anus all around, in full thickness. Although its etiology is not clear, it is now considered a pelvic floor disease. Although the ideal treatment method has not yet been determined, surgical intervention is the only definitive solution. Various surgical treatment methods have been defined, and the method to be chosen is determined according to the patient's general condition, symptoms, bowel habits, anatomy, and preoperative expectations. Rarely, rectal prolapse in the presence of a redundant colon may be accompanied by a mass lesion located in the ampulla recti. Our case with full-thickness rectal prolapse, for which oncological principles should be observed in the treatment, is presented as an example of this situation.

Anahtar Kelimeler

Adenoma , Colonic polyps , Intussusception , Perineal procedure , Rectal prolapse

Etik Beyan

Written informed consent was obtained from the patient who participated in this case.

Teşekkür

Thanks to Nurten Türkel Küçükmetin for his support in the treatment process of the patient.

Kaynakça

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