A Rare Case of Rectal Prolapse Complicated by Maggot Infestation

Rectal prolapse defined as mucosal or full-thickness layer of rectal tissue protrudes through the anal orifice (Gourgiotis and Baratsis Int J Colorectal Dis. 22 (3):231-43, 2007). It can present with various symptoms including pain, incomplete evacuation, bloody or mucous rectal discharge, and fecal incontinence or constipation. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent and have risk of strangulation. Mucosal prolapse, in contrast, is defined as protrusion of only the rectal mucosa from the anus. Here we are describing a case of complete rectal prolapse with extensive maggot infestation treated by perineal proctosigmoidectomy and proximal transverse colostomy. The patient doing well after 1-month follow-up planned for colostomy closure now.