Premalignant Villous Adenoma Accompanying Irreducible External Rectal Prolapse
Abstract
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.
Keywords
Adenoma, Colonic polyps, Intussusception, Perineal procedure, Rectal prolapse
Ethical Statement
Written informed consent was obtained from the patient who participated in this case.
Thanks
Thanks to Nurten Türkel Küçükmetin for his support in the treatment process of the patient.
References
- Rakinic J. Rectal prolapse. Medscape. 2022. https://emedicine. medscape.com/article/2026460-overview.
- Hori T, Yasukawa D, Machimoto T, et al. Surgical options for full-thickness rectal prolapse: current status and institutional choice. Ann Gastroenterol. 2018;31(2):188-197.
- Drezdzon MK, Peterson CY. Anorectal Emergencies. Surg Clin North Am. 2023;103(6):1153-1170.
- Emile SH, Elfeki H, Shalaby M, Sakr A, Sileri P, Wexner SD. Perineal resectional procedures for the treatment of complete rectal prolapse: A systematic review of the literature. Int J Surg. 2017;46:146-154.
- Emile SH, Elfeki HA, Youssef M, Farid M, Wexner SD. Abdominal rectopexy for the treatment of internal rectal prolapse: a systematic review and meta-analysis. Colorectal Dis. 2017;19(1):O13-O24.
- Kaufman HS, Buller JL, Thompson JR, et al. Dynamic pelvic magnetic resonance imaging and cystocolpoproctography alter surgical management of pelvic floor disorders. Dis Colon Rectum. 2001;44(11):1575-1584.
- Lindsey I. Internal rectal prolapse. In: Lindsey I, Nugent K, Dixon T, editors. Pelvic Floor Disorders for the Colorectal Surgeon (Oxford, 2010; online edn, Oxford Academic, 1 May 2013). Oxford: Oxford University Press, 2010:93-102.
- Oruc M, Erol T. Current diagnostic tools and treatment modalities for rectal prolapse. World J Clin Cases. 2023;11(16):3680-3693.
- Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev. 2015;2015(11):CD001758.
- Tsunoda A, Takahashi T, Matsuda S, Oka N, Kusanagi H. Midterm functional outcome after laparoscopic ventral rectopexy for external rectal prolapse. Asian J Endosc Surg. 2020;13(1):25-32.