一篇关于采用阿尔特迈尔手术成功治疗文献中记载的最大直肠脱垂病例的报告。
A case report of largest rectal prolapse in the literature successfully treated with Altemeier's procedure.
作者信息
Ahmadinejad Mojtaba, Farsi Yeganeh, Bahr Mohammad Hadi, Bozorgmehr Ramin, Soltanian Ali, Zebarjadi Bagherpour Javad
机构信息
Department of Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, Alborz, Iran.
Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Ann Med Surg (Lond). 2022 Jul 31;80:104231. doi: 10.1016/j.amsu.2022.104231. eCollection 2022 Aug.
BACKGROUND
The rectal prolapse is defined as the concentric protrusion of full or partial thickness of the rectum or rectosigmoid via the anus. This is an increasing clinical concern that is usually found in old female patients.
CASES PRESENTATION
A 39-year-old male patient was referred due to an un-reduceable rectal projection from a week ago. The primary endeavor for reduction of the projection under sedation and after local mannitol treatment at the operation room was unsuccessful, so surgical resection and reduction were planned for the patient.
CONCLUSION
Management of rectal prolapse has always been one of the challenges of colorectal surgery. For patients with incarcerated prolapse manual reduction under sedation is used. If the reduction is unsuccessful, surgical procedures are used.
背景
直肠脱垂被定义为直肠或直肠乙状结肠全层或部分厚度经肛门的同心性突出。这是一个日益引起临床关注的问题，通常见于老年女性患者。
病例介绍
一名39岁男性患者因一周前出现无法回纳的直肠突出而前来就诊。在手术室进行镇静及局部甘露醇治疗后尝试回纳突出物，但未成功，因此计划对该患者进行手术切除及回纳。
结论
直肠脱垂的治疗一直是结直肠手术的挑战之一。对于嵌顿性脱垂患者，采用镇静下手法回纳。如果回纳不成功，则采用手术治疗。
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