VỠ TRỰC TRÀNG TỰ PHÁT TRÊN BỆNH NHÂN VIÊM LOÉT TRỰC TRÀNG ĐƠN ĐỘC DO SA TRỰC TRÀNG TOÀN THÀNH: BÁO CÁO 01 TRƯỜNG HỢP VÀ HỒI CỨU Y VĂN

Abstract

Background: Isolated ulceration is a common disease in patients with rectal intussusception or total rectal prolapse. One of the emergency complications that can occur is spontaneous rectal perforation due to a solitary ulcer on the anterior wall of the rectum. Clinical case: In this report, we describe a rare emergency case of pelvic peritonitis due to spontaneous rectal perforation after pelvic floor lift surgery and resection of the prolapsed rectal mucosa with a stapler. Surgical treatment includes laparoscopic abdominal lavage and ileostomy combined with Altemeier surgery to resect the prolapsed rectal mass through the anal canal. The patient was reversed the ileostomy 8 weeks after the operation with the good results. Conclusions: In the Altemeier operation for total rectal prolapse combined with surgery for lifting pelvic floor and perineum prolapse, the Altemeier operation should be performed before the surgery to place a sling of mesh. The purpose is to keep the rectum mobile during rectal dissection, mobilization and resection.