Journal of Medical Case Reports (Dec 2009)

Altemeier operation associated with dynamic graciloplasty: a case report

  • Effetti Eleonora,
  • Cola Alessandra,
  • Iachetta Roberto,
  • Mongardini Massimo,
  • Custureri Filippo

DOI
https://doi.org/10.1186/1752-1947-3-9317
Journal volume & issue
Vol. 3, no. 1
p. 9317

Abstract

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Abstract Introduction More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association. Case presentation We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage. Conclusion Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.