Presentation
Feeling of incomplete defecation. Suspected partial thickness rectal intussusception.
Patient Data
Age: 60 years
Gender: Female
From the case:
Anterior rectocoele and recto-anal intussusception
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/54132/annotated_viewer_json?lang=us"}
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 defecation 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.
Unable to process the form. Check for errors and try again.