Case Report of International Journal of Case Reports
Idiopathic Sigmoid Intussusception Prolapse per Anus
Loay M. AlJaberi,MD1, Alaa Eddin K. Salameh,MD2, Rafiq M. Salhab,MD3,Hazem A. Ashhab,MD4
1,2 Al-Quds University School of Medicine, East Jerusalem, P.O. box 89
3 Surgery Department, Al-Ahli Hospital, Hebron, Palestinian Territories
4 Gastroenterology Department, Charleston Area Medical Center, West Virginia, USA
Sigmoidal intussusception protrusion through the anus is extremely rare and has only been reported a few times. The majority of cases of prolapsed sigmoid intussusception in adults have an underlying bowel pathology such as carcinoma, polyps, or benign neoplasms, which are usually discovered intra-operatively. Our case is a 25-year old male patient, previously healthy, with no history of constipation or straining, who presented with a painless prolapsed mass out of the anus. It is very unusual for a young healthy male to present suddenly with such a complaint. After failed attempts to reduce the prolapsed segment under general anesthesia, laparotomy was performed and the prolapsed mass was determined to be an intussuscepted sigmoid. Hartmann procedure was performed. 9 cm of the sigmoid was resected. Findings were consistent with a healthy but edematous prolapsed sigmoid colon.
Keywords: Idiopathic Sigmoid prolapse, Sigmoid Procidentia, Colonic Prolapse
How to cite this article:
Loay M. AlJaberi,Alaa K. Salameh, Rafiq M. Salhab,Hazem A. Ashhab. Idiopathic Sigmoid Intussusception Prolapse per Anus . International Journal of Case Reports, 2018 2:23. DOI: 10.28933/ijcr-2018-06-0501.
1. Lloyd DA, Kenny SE. The surgical abdomen. In: Pediatric Gastrointestinal Disease: Pathopsychology, Diagnosis, Management, 4th, Walker WA, Goulet O, Kleinman RE, et al (Eds), BC Decker, Ontario 2004. p.604.
2. Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S. Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings. AJR Am J Roentgenol 2016; 207:424.
3. Erkan N, Haciyanli M, Yildirim M, et al. Intussusception in adults: an unusual and challenging condition for surgeons. Int J Colorectal Dis 2005; 20:452.
4. Wang N, Cui XY, Liu Y, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol. 2009;15:3303–8.
5. Kairaluoma MV, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Scand J Surg 2005; 94:207.
6. Felt-Bersma RJ, Tiersma ES, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele. Gastroenterol Clin North Am 2008; 37:645.
7. Hg, v., Vora, h. and bhavsar, M. (2013). Sigmoidorectal Intussusception Presenting as Prolapse Per Anus in an Adult. World Journal of Colorectal Surgery, 3(4), p.3.