Altemeier operation associated with dynamic graciloplasty: a case report

• Main Authors: Effetti Eleonora, Cola Alessandra, Iachetta Roberto, Mongardini Massimo, Custureri Filippo
• Format: Article
• Language: English
• Published: BMC 2009-12-01
• Series: Journal of Medical Case Reports
• Online Access: http://www.jmedicalcasereports.com/content/3/1/9317

<p>Abstract</p> <p>Introduction</p> <p>More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association.</p> <p>Case presentation</p> <p>We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage.</p> <p>Conclusion</p> <p>Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.</p>