Abstract
Causes of rectal prolapse include a long sigmoid colon, a deep pouch of Douglas, weakness of pelvic muscles, a rectocele, a rectum not fixed to the sacrum, and pelvic organ prolapse. The only curative treatment of rectal prolapse is operative. There are no guidelines for these operative procedures. We present a case of rectal prolapse caused by the rectum not fixed to the sacrum diagnosed on defecografy.
A 67-year-old man suffered since anal prolapse since childhood, which was not correctly diagnosed and was manually reduced by himself or his parents. In December 2009, he was admitted due to rectal prolapse and severe pain, which was found to be caused by the rectum not being fixed to the sacrum on dynamic defecography. The patient underwent a transabdominal rectopexy using Sudeck's procedure. Defecografy was useful for identifying the cause of the patient's condition, and in selecting an optimal operative procedure. We herein report our case and review the literature.
