Proctitis
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Proctitis refers to inflammation of the lining of the rectum (rectal mucosa) it may be acute or chronic. When is involves the rest of the wider colon, it is then termed proctocolitis.
Clinical presentation
Proctitis may have a range of clinical symptoms which include including:
- rectal bleeding
, discharge, - rectal discharge
-
faecal urgency
, - painful defecation
, - tenesmus
, and/or - crampy lower abdominal pain
.
Pathology
Aetiology
Proctitis may result from number of pathologies
- infection - infective proctitis
- gonococcal proctitis
- syphilitic proctitis 2
- viral
- CMV proctitis
- ischaemia - ischaemic proctitis
- radiation - radiation proctitis
- faecal impaction - stercoral proctitis
Radiographic features
CT
Usually tends to show diffuse thickening of the rectum
Differential diagnosis
Possible differential considerations include
- diffuse colonic malignancy affecting the rectum
See also
-<p><strong>Proctitis</strong> refers to inflammation of the lining of the rectum (rectal mucosa) it may be acute or chronic. When is involves the rest of the wider colon, it is then termed <a href="/articles/proctocolitis">proctocolitis</a>.</p><h4>Clinical presentation</h4><p>Proctitis may have a range clinical symptoms which include rectal bleeding, discharge, urgency, painful defecation, tenesmus, and/or crampy lower abdominal pain. </p><h4>Pathology</h4><h5>Aetiology</h5><p>Proctitis may result from number of pathologies</p><ul>- +<p><strong>Proctitis</strong> refers to inflammation of the lining of the rectum (rectal mucosa) it may be acute or chronic. When is involves the rest of the wider colon, it is then termed <a href="/articles/proctocolitis">proctocolitis</a>.</p><h4>Clinical presentation</h4><p>Proctitis may have a range of clinical symptoms including: </p><ul>
- +<li>rectal bleeding</li>
- +<li>rectal discharge</li>
- +<li>faecal urgency</li>
- +<li>painful defecation</li>
- +<li><a title="Tenesmus" href="/articles/tenesmus">tenesmus</a></li>
- +<li>crampy lower <a title="Acute abdominal pain" href="/articles/acute-abdominal-pain">abdominal pain</a>
- +</li>
- +</ul><h4>Pathology</h4><h5>Aetiology</h5><p>Proctitis may result from number of pathologies</p><ul>
-<li><a title="Rectal lymphomas" href="/articles/large-bowel-lymphoma">rectal lymphoma</a></li>-<li><a title="diffuse adenocarcinoma of rectum" href="/articles/diffuse-adenocarcinoma-of-rectum">diffuse adenocarcinoma of rectum</a></li>- +<li><a href="/articles/large-bowel-lymphoma">rectal lymphoma</a></li>
- +<li><a href="/articles/diffuse-adenocarcinoma-of-rectum">diffuse adenocarcinoma of rectum</a></li>
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