Normal defecatory function on proctography

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Feeling of incomplete evacuation. Assess for prolapse and defecatory function.

Patient Data

Age: 30 years
Gender: Female

Fluoroscopic proctogram

Fluoroscopy

This is essentially a normal fluoroscopic proctogram study. At rest, the pelvic floor has a normal position, with slight descent at the commencement of evacuation. The anorectal angle widens, and the anal canal opens and allows unimpaired expulsion of the barium paste. There is no mucosal or full-thickness intussusception or prolapse, and no rectocele or enterocele.

Case Discussion

It is uncommon to find a normal proctogram study, as anatomic defects such as rectoceles have even been observed in asymptomatic patients.

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