RT Book, Section
A1 Chin, Anthony
A1 Browne, Marybeth
A1 Reynolds, Marleta
A2 Goodman, Denise M.
A2 Green, Thomas P.
A2 Unti, Sharon M.
A2 Powell, Elizabeth C.
SR Print(0)
ID 7000355
T1 Chapter 30. Rectal Prolapse Reduction
T2 Current Procedures: Pediatrics
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-145908-2
LK accesspediatrics.mhmedical.com/content.aspx?aid=7000355
RD 2024/04/25
AB •  Most  cases  of  rectal  prolapse  reduce  spontaneously.•  Rarely,  a  surgical  procedure  may  be  necessary  to  correct  a  full-thickness  prolapse.•  Rectal  prolapse  should  be  promptly  reduced  to  prevent  a  sustained  prolapse  that  allows  edema  to  form  and  potential  subsequent  venous  congestion  and  thrombosis  to  develop,  which  may  lead  to  ulceration  of  the  rectal  mucosa  with  bowel  ischemia  and  infarction.•  A  rectal  examination  needs  to  be  performed  to  differentiate  prolapse  from  an  intussusception  or  rectal  polyp.•  Diagnostic  studies  are  often  not  necessary,  but  a  proctoscopy,  colonoscopy,  or  barium  enema  may  be  indicated  when  the  patient  has  a  history  of  rectal  bleeding.•  Children  need  to  be  tested  for  parasites  and  cystic  fibrosis  as  well  as  other  causes  of  anal  straining  (including  neuromuscular  problems,  proctitis,  and  inflammatory  bowel  disease).