ISSN 2398-2969      

Rectum: prolapse

icanis
Contributor(s):

James Simpson


Introduction

  • Eversion of one or more layers of rectum through the anus.
  • Causes: persistent straining due to urogenital or alimentary disease, most commonly severe colitis/proctitis associated with endoparasites.
  • Signs: tenesmus, rectal mass.
  • Diagnosis: differentiate from ileocolic or colic intussusception.
  • Treatment: eliminate underlying cause while alleviating immediate discomfort caused by the rectal prolapse. Colopexy may be required.
  • Amputation of the prolapsed rectum is the preferred treatment if, on initial presentation, the rectal mucosa is necrotic, lacerated or irreducible.
  • Prognosis: guarded due to complications such as strictures, incontinence or leakage from the anastomotic site following amputation.

Pathogenesis

Etiology

Predisposing factors

General
  • Colitis/proctitis.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

Other sources of information

  • Richter K P (1991)diseases of the rectum and anusIn:Current Veterinary Therapy XI, W B Saunders, Philadelphia. pp 613-619.

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