A Case of an Incarcerated Recurrent Rectal Prolapse after an Initial Thiersch's Procedure

Abstract

A 94-year-old woman was admitted to the hospital with an incarcerated rectal prolapse. About 20 years previous to admission, she had undergone Thiersch’s procedure, but recently the rectal prolapse had relapsed. The patient attempted to reduce the prolapse manually, but was unsuccessful. On admission, a rectal prolapse, 10 cm in diameter was observed extra-anally, with a necrotic surface. CT scan revealed that the blood flow in the rectal wall had decreased, so we performed an emergency laparotomy (Hartmann's procedure). The patient was discharged from hospital on the 29th day after operation with a good postoperative course. This case demonstrated that we should pay attention to an incarcerated rectal prolapse after transanal surgery for rectal prolapse.