Ann Coloproctol.  2021 Jul;37(Suppl 1):S15-S17. 10.3393/ac.2020.02.22.

Neorectal Mucosal Prolapse After Intersphincteric Resection for Low-Lying Rectal Cancer: A Case Report

• Alessa M
• Bae HW
• Alawfi H
• Sakr A
• Sauri F
• Kim NK

• KMID: 2518697
• DOI: http://doi.org/10.3393/ac.2020.02.22

Abstract

Radical resection for low rectal cancer is the mainstay among the treatment modalities. Intersphincteric resection (ISR) is considered a relatively new but effective surgical treatment for low-lying rectal tumor. As the sphincter preserving techniques get popularized, we notice uncommon complication associated with it in the form of rectal mucosal prolapse. We presented 2 rare cases that developed neorectal mucosa prolapse after ISR a complication following low rectal cancer surgery. Although ISR is a safe and effective surgical technique for low rectal cancer, it should be considered to correct modifiable possible risk factors. Also, Delorme procedure is good option for management of neorectal mucosal prolapse.

Keyword

Rectal prolapse; Intersphincteric resection; Low rectal cancer; Rectal neoplasms