Rectum Perforation Secondary A Closed Loop Obstruction After Perineal Rectosigmoidectomy (Altemeier Surgery)

Abstract

Rectal prolapse is a relatively rare pathology that consists of partial or complete exit of the rectum through the anus (in this case, also called rectal prolapse), more common in the seventh decade of life in female patients. This condition presents varied clinical symptoms, such as proctalgia, fecal incontinence, constipation, bleeding, mucus discharge, anal bulging, among others. The treatment of this pathology is surgery, however, non-operative therapies can be used to combat the associated symptoms. There are different surgical techniques for correction of rectal prolapse described in literature. These techniques can be performed perineal or abdominal, choosing the approach according to the type of prolapse and the patient's clinical conditions.This report aims to present a complication that occurred after perineal rectosigmoidectomy with sphincter repair (Altemeier’s technique) in a patient at Hospital PUC-Campinas, Brazil.