Rectal prolapse

Case contributed by Dr Matthew Lukies

Presentation

Query rectal prolapse.

Patient Data

Age: 60
Gender: Female
Modality: Fluoroscopy

Preliminary images show orthopaedic metalware in the right femur.

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:

  • initially, a small protrusion of the anterior rectal wall (anterior rectocoele)
  • the rectum is then seen to descend and prolapse outside the anus
  • no associated vaginal prolapse

The rectum emptied well with only a small amount of contrast remaining in the rectum on post evacuation images.

Case Discussion

This case demonstrates an external rectal prolapse on fluoroscopy. This may be associated with vaginal prolapse, but not in this case.

 

Case thanks to Dr Alex Jarema.

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Case Information

rID: 45190
Case created: 17th May 2016
Last edited: 31st Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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