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Baishideng Publishing Group, World Journal of Gastroenterology, 5(19), p. 776

DOI: 10.3748/wjg.v19.i5.776

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Strangulated ileal trans-coloanal-anastomotic hernia: A complication of Altemeier’s procedure previously never reported

Journal article published in 2013 by Maria Di Lena, Ivana Giannini, Altomarino Guglielmi, Emanuele Angarano, Donato Francesco Altomare ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

A postoperative complication after Altemeier operation, so far never reported, is described in a 42 years old mentally disabled patient with external full thickness rectal prolapse who usually had prolonged straining at defecation. After 6 d from perineal rectosigmoidectomy, the patient, was discharged free of complications. Four days later he was readmitted in emergency for strangulated perineal trans-anastomotic ileal hernia that occurred at home during efforts to defecate. The clinical feature required an emergency operation for repositioning the ileal loops into the abdomen, resection of the necrotic ileum, and end colostomy. The outcome of the second operation was free of complication and the patient was discharged on the 6(th) postoperative day. In conclusion, after Altemeier operation prolonged straining at defecation should be carefully avoided.