Abstract:

Objective

To investigate the value of surgical treatment for patients of acquired immune deficiency syndrome （AIDS） complicated with rectal prolapse， and to improve the diagnostic and therapeutic understanding of rectal prolapse.

Methods

The clinical records， diagnosis and treatment of a patient with AIDS complicated with rectal prolapse of grade Ⅲ admitted to Chengdu Anorectal Hospital on November 29th， 2023 were reviewed， retrospectively.

Results

The patient was admitted to hospital presenting with rectal prolapse. Physical examination showed that the anal mass protruded from the anus， in a ring shape，about 10 cm and hierarchical mucosal folds could be seen， which could not be manually reduced. After admission， transanal rectal partial resection and anastomosis and transanal pelvic floor reconstruction were performed under sacral canal anesthesia plus intravenous general anesthesia. The patient's anus regained its normal appearance， structure and function after operation. Three days after the operation， the patient began to defecate， with formed， soft and unobstructed stools. One week after the operation， the wound was basically healed， with no obvious pain， bleeding or edema. Both digital rectal examination and anoscopy showed no abnormalities， and anorectal manometry was normal. There was no recurrence of rectal prolapse during the 1-year follow-up.

Conclusions

Early diagnosis and comprehensive evaluation is important for the patients with AIDS and rectal prolapse. Appropriate surgical procedure is crucial for improving the prognosis and life quality of these patients.

Key words: Rectal prolapse, Acquired immune defciency syndrome, Surgical treatment