Rectosigmoidectomy in a patient with a prolapsed sigmoid tumor: case report

• Main Authors: Andreia S. Ferreira, Luiz F. M. e Silva, Rânia A. Lima, Elaine A. de Melo, Fábio H. de Oliveira
• Format: Article
• Language: Portuguese
• Published: Universidade de São Paulo 2016-12-01
• Series: Medicina
• Subjects: Colorectal Neoplasms. Colorectal Surgery. Prolapse
• Online Access: http://www.revistas.usp.br/rmrp/article/view/127448
• ISSN: 0076-6046; 2176-7262

Design of the study: Case report. Objectives: To report a case of a patient with colorectal tumor prolapse located in the sigmoid. Methodology: A retrospective case report obtained from medical records. Results: We report a case of a patient awaiting surgery for tumor resection of a colorectal tumor, when she was sent to the service of medical emergencies with an episode of post-evacuation rectal prolapse with a tumor without spontaneous reduction. The patient was referred to emergency surgery and underwent a transabdominal approach, in which the prolapse was reduced then followed by Hartmann's rectosigmodectomy surgical procedure. Conclusions: Sigmoid tumor prolapse require a surgical approach, the approach of choice was abdominal retosigmoidectomy, following the oncological principles, with ligation of the inferior mesenteric artery at its origin. Relevance: Sigmoid tumor prolapse, a relatively unusual clinical situation in adults, and more rare complication when it comes to colorectal tumors, it must be treated immediately after diagnosis to reduce the risk of ischemia prolapsed segment, and whenever possible offer surgery to follow the precepts of cancer treatment. Comments: In the case reported, an emergency surgical approach was necessary, and the abdominal route was chosen following the principles of cancer surgery and shorter surgical time