Massive Prolapse of the Rectum ecium

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Abstract
Prolapse of the rectum is defined as a pathological protrusion of one or more layers of the rectal wall through the anus. Extrusion of the rectal mucous membrane alone is termed prolapse of the mucous membrane, as seen in children and in the aged. Extrusion of all the layers of the rectal wall is termed prolapse of the rectum, or procidentia. Aggravation and prolongation of the procidentia may lead to further extrusion of the lower bowel involving the rectosigmoid and sometimes the sigmoid. The further weakening of the peritoneum of the cul-de-sac of Douglas and the transversalis fascia leads to the inclusion of loops of ileum in the hernial sac. In massive prolapse one may find involved not only rectum, but also rectosigmoid, sigmoid colon, and ileum. The subject of this paper concerns the report of a case of massive prolapse of the rectum operated upon by a combination of

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