Extraperineal enterocele in male: A case report and literature review

INTRODUCTION: Enterocele is a herniation of the small bowel through the cul-de-sac. It is uncommon and most often seen in elder females. Large enterocele manifesting as rectal prolapse is exceedingly rare and only few cases are reported previously. Due to it rarity, the best surgical treatment is not yet established especially in male patients. We present a case of enterocele causing rectal prolapse in a male patient that was treated surgically. PRESENTATION OF CASE: A 47-year-old African American male with chronic constipation and straining presented with manually reducible rectal prolapse. A defecography revealed a large enterocele prolapsing through the anterior rectal wall. The patient underwent an open posterior suture rectopexy with peritoneoplasty. His symptoms completely resolved after surgery, and repeat defecography three months after the procedure showed no sign of recurrence. DISCUSSION & CONCLUSION: Extraperineal enterocele in male is a rare disease. Rectopexy with peritoneoplasty can provide a great symptom relieve and improvement on defecography. Long-term outcome should be evaluated.