Anterior rectocoele and rectal intussusception

Case contributed by Dr Matthew Lukies

Presentation

Suspected rectal prolapse. Normal ultrasound and colonoscopy.

Patient Data

Age: 50
Gender: Female
Modality: Fluoroscopy

The fluoroscopic images taken upon bearing up and bearing down demonstrate:

  • appropriate elevation of the anorectal angle on bearing up
  • appropriate descent of the pelvic floor and anorectal junction on bearing down

The fluoroscopic images taken upon defaecating demonstrate:

The rectum emptied well with only a small amount of contrast remaining in the sigmoid colon and rectum.

Case Discussion

This case is a demonstration of a small-moderate anterior rectocoele and recto-recto intussusception. Anterior rectocoele is more common in advanced age and with multiparity. 

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Case Information

rID: 45011
Case created: 12th May 2016
Last edited: 31st Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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