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Case Reports: Unusual presentation of more common disease/injury
Incarcerated Prolapsed Sigmoid Intussusception Presenting as Rectal Prolapse Without a Lead Point
  1. Debra Lai1,2,
  2. Marta Lavery2 and
  3. Ulrik Wallin3
  1. 1Department of Surgery, Lincoln Memorial University, Harrogate, Tennessee, USA
  2. 2Colon and Rectal Surgery, Swedish Cancer Institute, Seattle, Washington, USA
  3. 3Colon and Rectal Surgery, The Polyclinic, Seattle, Washington, USA
  1. Correspondence to Dr Debra Lai; debra.lai9{at}gmail.com

Abstract

This case series presents two patients with symptoms consistent with acute rectal prolapse. The prolapses were subsequently found to be sigmoid intussusception that had prolapsed through the anus without rectal prolapse and without any intraluminal pathology or lead point. Both were recognised on examination and underwent colonic resection rather than proctectomy.

  • Gastrointestinal surgery
  • General surgery
  • Emergency medicine
  • Gastroenterology
  • Medical education

https://doi.org/10.1136/bcr-2023-255364

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    Footnotes

    • Twitter @Debra_Lai

    • Contributors DL performed the main write up and final revisions with a small amount of discussion contribution from ML, along with review/editing by UW.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.