Ultralow Anterior Resection for Prolapsed Giant Solitary Rectal Polyp of Peutz-Jeghers Type

Garcés, Marina; García‐Granero, Eduardo; Faiz, Omar; Alcacer, J.A. Maestre; Lledó, Salvador

doi:10.1177/000313481107700433

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…In our case, the patient experienced constipation but no obvious changes in the integrity of the anal sphincter that would lead to prolapse. Treatment options for prolapsed polyps include conservative treatment, endoscopic resection, and even ultralow anterior excision, albeit there is no universally accepted method [9]. Nearly all pedunculated polyps can be removed safely and effectively using colonoscopic polypectomy.…”

Section: Discussionmentioning

confidence: 99%

Rectal Polyp Prolapse: A Case Report

Agarwal,

Nath Choudhury,

Minocha

2023

Asian Pac J Cancer Biol

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Colorectal adenomas are polyps that develop from the mucosa and exhibit neoplastic characteristics. Adenomas’ increasing dysplasia and malignant potential are connected to their size, villous content, and patient’s age. An anorectal emergency is definitely a possibility when there are large villous polyps in the rectum. They could be involved in rectal bleeding, blockage, prolapse, or imprisonment. We describe a 53-year-old female who was treated successfully for giant tubulovillous rectal adenoma that was prolapsed through anal opening. The patient’s clinical symptoms and signs were mistaken for prolapsed hemorrhoids.

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Section: Discussionmentioning

confidence: 99%

Rectal Polyp Prolapse: A Case Report

Agarwal,

Nath Choudhury,

Minocha

2023

Asian Pac J Cancer Biol

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“…Although there is no consensus as to how to treat prolapsed polyps, the options include conservative treatment, endoscopic resection, or even ultralow anterior resection. 11 Colonoscopic polypectomy is safe and effective for the excision of nearly all pedunculated polyps. For polyps not amenable to polypectomy such as large sessile villous lesions, surgical resection is recommended.…”

Section: Discussionmentioning

confidence: 99%

Acute Hemorrhagic Incarceration of Prolapsed Giant Rectal Tubulovillous Adenoma: A Rare Case of Anorectal Emergency

Erdoğan¹,

Teke²,

Aydın³

et al. 2019

tjcd

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Kolorektal adenomlar, mukozadan kaynaklanan ve neoplastik özellikler gösteren poliplerdir. Artan displazi ve malignite potansiyeli, adenomun boyutu, içerdiği villöz komponent ve hasta yaşı ile ilişkilidir. Dev rektal villöz polipler, gerçek bir anorektal acil potansiyeli taşırlar. Rektal kanama, obstrüksiyon, prolapsus ve inkarserasyona sebep olabilirler. Biz de bu yazımızda acil servisimize başvuran 57 yaşında erkek bir hastada, klinik semptom ve bulguları prolabe hemoroid ile karışan, başarılı bir şekilde transanal eksizyon yaptığımız, anüsten prolabe olmuş inkarsere hemorajik dev rektal tübülovillöz adenom olgusunu sunmayı amaçladık. Anahtar Kelimeler: Rektal polip, tübülovillöz adenom, prolapsus, inkarserasyon, transanal eksizyon Colorectal adenomas are polyps that arise from the mucosa and demonstrate neoplastic features. Increasing dysplasia and malignant potential of adenomas are related to their size, villous component, and patient's age. Giant villous polyps of the rectum represent a real potential for an anorectal emergency. They may be involved in rectal bleeding, obstruction, prolapse, or incarceration. We herein present a case of a 57-year-old man presented to the emergency department because of an incarcerated transanal prolapse of a giant hemorrhagic tubulovillous rectal adenoma, which caused clinical symptoms and signs that were mistaken for prolapsed hemorrhoids, and was treated successfully by transanal excision.

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