DELORME PROCEDURE IN THE TREATMENT OF RECTAL PROLAPSE – CASE REPORT

Abstract

Prolapse of the rectum is not so rare, especially in children under 3 years of age. It is most commonly associated with persistent constipation, enterocolitis, cystic fibrosis, and neuromuscular diseases. In most cases, treatment is conservative and symptomatic. Surgical treatment is rarely required. The paper presents a patient aged 27 months treated at the Clinic for persistent rectal prolapse. The attempt at conservative treatment did not give results, although the problem of constipation in the boy was solved. Due to persistent episodes of rectal prolapse, sclerosation of the anorectal region was performed. However, this method did not lead to a cure. Therefore, surgical treatment followed, and surgery was performed according to Delorme, a perineal approach. There were no complications in the postoperative course, as well as relapses of the disease. Rectal prolapse is most commonly encountered at the age of 3 years. Treatment should be directed to treating the underlying disease that leads to rectal prolapse. In refractory cases, surgical treatment is suggested, which is extremely rare in children.