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External rectal prolapse may give symptoms of obstructed defecation syndrome, fecal incontinence, or both, [16] [6] Other symptoms are bloody or mucous rectal discharge. [6] Relative indications are: Internal rectal prolapse (rectal intussusception), if it causes symptoms. [19] Anterior rectocele, if large and causing symptoms. [5]
Intussusception is an emergency requiring rapid treatment. [1] Treatment in children is typically by an enema with surgery used if this is not successful. [1] Dexamethasone may decrease the risk of another episode. [2] In adults, surgical removal of part of the bowel is more often required. [1] Intussusception occurs more commonly in children ...
Solitary rectal ulcer syndrome (SRUS, solitary rectal ulcer, SRU) occurs with internal rectal intussusception and is part of the spectrum of rectal prolapse conditions. [5] It describes ulceration of the rectal lining caused by repeated frictional damage as the internal intussusception is forced into the anal canal during straining.
Long term injury to the rectal mucosa and ischemic trauma are thought to be the main mechanisms. [5] In a report of 36 patients with SRUS, the underlying cause was internal prolapse (intussusception) in 20 patients, external rectal prolapse in 14 patients, and dyssynergic defecation (anismus) in 2 patients. [7]
Sometimes internal rectal intussusception exists in combination with S-shaped rectum or corkscrew rectum. Which configuration the rectum ends up in is likely related to several factors: the original position of the rectum, the amount of redundancy of the sigmoid colon (see: dolichosigmoid colon), position of other pelvic organs, laxity of ...
A North Carolina father is facing criminal charges after authorities allege he left his child isolated in a room with a space heater for more than 12 hours, leading to his death.
Rectal prolapse/Internal rectal intussusception: The rectum may be seen to prolapse, whether internally or externally. There can be difficulty differentiating between internal intussusception and a normal rectal fold. The thickness of the intussusception is half the width of the intussusception (the intussusception is a doubled over layer of ...
This article was reviewed by Craig Primack, MD, FACP, FAAP, FOMA. Ah, New Year’s Day. You can set goals at any time of year, of course, but the new year provides that extra rush of motivation.