Complete Rectal Prolapse in Children: Case Report, Review of Literature, and Latest Trends in Management

Authors

  • Girish Gulab Meshram 1Department of Pharmacology, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi
  • Neeraj Kaur Department of Radiology, University of Texas Health Science Centre, San Antonio, Texas
  • Kanwaljeet Singh Hura Department of Paediatrics, Richmond University Medical Centre, Staten Island, New York

DOI:

https://doi.org/10.3889/oamjms.2018.376

Keywords:

Rectal prolapse, procidentia, pediatric management

Abstract

BACKGROUND: Complete rectal prolapse is the circumferential descent of all the layers of the rectum through the anus. It often leads to bleeding, obstructed defecation, incarceration or fecal incontinence.

CASE REPORT: We present a rare case of a 4-year-old child with complete rectal prolapse of 12 cm in length. The prolapsed rectum was manually repositioned after reducing the oedema. The precipitating factor was identified as excessive straining while passing stools. A change in position while passing stools was advised along with a high fibre diet and a stool softener. Recurrence was not observed in the 3 month of follow-up.

CONCLUSION: Most cases of pediatric rectal prolapse are managed conservatively by addressing the associated and precipitating etiological factors. Surgical intervention may be required for recurrent or persistent cases.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Goligher JC. Prolapse of the rectum. Postgrad Med. 1964; 40:125-129. https://doi.org/10.1136/pgmj.40.461.125

Antao B, Bradley V, Roberts JP, Shawis R. Management of rectal prolapse in children. Dis Colon Rectum. 2005; 48:1620-1625. https://doi.org/10.1007/s10350-005-0074-0 PMid:15981062

Williams N, O'Connell PR, editors. Bailey & Love's Short Practice of Surgery 26E. Crc Press, 2013.

El-Chammas KI, Rumman N, Goh VL, Quintero D, Goday PS. Rectal prolapsed an cystic fibrosis. J Pediatr Gastroenterol Nutr. 2015; 60:110-112. https://doi.org/10.1097/MPG.0000000000000546 PMid:25162364

Shah A, Parikh D, Jawaheer G, Gornall P. Persistent rectal prolapsed in children: sclerotherapy and surgical management. Pediatr Surg Int. 2005; 21:270-73. https://doi.org/10.1007/s00383-005-1384-y PMid:15761711

Siafakas C, Vottler TP, Anderson JM. Rectal prolapsed in pediatrics. Clin Pediatr. 1999; 38:63-72. https://doi.org/10.1177/000992289903800201 PMid:10047938

Cares K, El-Baba M. Rectal prolapse in children: significance and management. Curr Gastroenterol Rep. 2016; 18:22. https://doi.org/10.1007/s11894-016-0496-y PMid:27086003

Groff DB. Nagaraj HS. Rectal prolapse in infants and children. Am J Surg. 1990; 160:531-532. https://doi.org/10.1016/S0002-9610(05)81022-0

Published

2018-09-21

How to Cite

1.
Meshram GG, Kaur N, Hura KS. Complete Rectal Prolapse in Children: Case Report, Review of Literature, and Latest Trends in Management. Open Access Maced J Med Sci [Internet]. 2018 Sep. 21 [cited 2024 Mar. 28];6(9):1694-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.376

Issue

Section

C- Case Reports