Anterior rectocoele and recto-anal intussusception

Case contributed by Dr Matthew Lukies

Presentation

Feeling of incomplete defecation. Suspected partial thickness rectal intussusception.

Patient Data

Age: 60 years
Gender: Female

Preliminary images are unremarkable.

The fluoroscopic images taken upon bearing up and bearing down demonstrate marked elevation and descent of the ano-rectal junction on bearing up and down, respectively.

The fluoroscopic images taken upon defecation demonstrate:

  • moderate to large degree of protrusion of the anterior rectal wall (anterior rectocoele) that incompletely empties during defaecation but is not obstructive
  • recto-anal intussusception (internal prolapse) with the rectum protruding to the anal verge
  • rectal descent to the anal canal, but no external prolapse

There is a small amount of contrast remaining in the rectum post evacuation.

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Case information

rID: 49037
Case created: 6th Nov 2016
Last edited: 7th Nov 2016
Inclusion in quiz mode: Included

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