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Rectal Prolapse, Pediatric

Pradeep P. Nazarey, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

There are three types of rectal prolapse: 
  • Complete: full thickness of rectum prolapses through anus (two layers of rectum with an intervening peritoneal sac, which may contain small ...

DIAGNOSIS

HISTORY

  • Signs and symptoms:

    • Protrusion of rectal layers through anus, usually found during defecation or attempted defecation

    • Although the history of rectal prolapse may be evident, it is often...

TREATMENT

GENERAL MEASURES

  • Rectal prolapse in children <4 years of age has strong tendency to resolve spontaneously over time (90%).

  • Patients who develop rectal prolapse at >4 years of age have le...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Treatment of constipation should continue indefinitely or until the child has demonstrated regular bowel habits on a high-fiber diet on his or h...

ADDITIONAL READING

  • Akkoyun I, Akbiyik F, Soylu SG. The use of digital photos and video images taken by a parent in the diagnosis of anal swelling and anal protrusions in children with normal physical ...

CODES

ICD9

569.1 Rectal prolapse 

ICD10

K62.3 Rectal prolapse 

SNOMED

  • 57773001 Rectal prolapse (disorder)

  • 197213004 Complete rectal prolapse

  • 71663002 Incomplete rectal prolapse

FAQ

  • Q: What should I do if my child has a rectal prolapse but I cannot reduce it?

  • A: You should wrap the prolapse in moist towels and bring your child to the emergency department. Physicians there will...

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