ANTERIOR RESECTION FOR PROLAPSE RECTI IN A YOUNG ADULT-REPORT OF A CASE-

Abstract

Despite the wide acceptance of less invasive surgery for prolapse recti in elderly patients, the optimal surgical approach for prolapse recti in young adults remains controversial. We herein report a case ofprolapse recti in a young man who was successfully treated by anterior resection with pexy of the colorectum to the sacrum.
A 22-year-old man was admitted to the hospital because of rectal prolapse by about 6cm, which had been repeatedly repositioned manually for these 3 years. Barium enema study demonstrated marked dilatation of the lower rectum. Magnetic resonance imaging showed extremely low Douglas l pouch and thickened rectal wall. Anterior resection with pexy of the colorectum to the sacrum was performed. The postope rative course was uneventful. There have been no signs of recurrence, as of 20 months postoperatively. This approach which can be a radical operation in terms of the genesis of the disease is considered to be one of better surgical procedures in young adults with prolapse recti.