PMC6170932_01
Patient 69-year-old male treated by Altemeier's procedure without colostomy.
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He described a mass protruding through the anal verge for 30 years, however the size of this mass increased gradually over time, until it became painful, swollen, and was completely irreducible (Fig. 1).
PMC6170932_02
Patient 52-year-old male treated by Altemeier's procedure with temporary colostomy diversion.
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Clinical examination showed a massive non-reducible rectal prolapse with evidence of patchy mucosal necrosis (Fig. 2).
CT scanner image of full-thickness massive rectal prolapse.
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All preoperative tests were within normal limits, and a CT scan documented massive full-thickness prolapse of the rectosigmoid colon through the anal verge (Fig. 3).