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rectal prolapse; proctoptosis
Prolapse or herniation of the rectum.
Classification:
- full thickness protrusion of all layers of the rectum through the anus
- prolapse of only a portion of the rectum
- internal prolapse
Clinical manifestations:
- concentric rings of the rectum protruding through the anus
- constipation:
- intermittent obstructed defectation
- history of chronic straining
- description of a reddish mass
- digital "splinting" to defecate
- fecal incontinence
- rectal bleeding
- rectal pain
Management:
- medical management in early phases may be useful
- stool softeners, suppositories
- surgery
- proctectomy
- sigmoid resection & rectopexy
Related
rectocele; proctocele; rectal procidentia
General
prolapse; procidentia
anorectal disease
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Mayo Clinic; Rectal Prolapse
http://www.mayoclinic.org/rectal-prolapse/treatment.html
- Cleveland Clinic: Rectal prolapse
http://my.clevelandclinic.org/disorders/rectal_prolapse/hic-rectal-prolapse.aspx