Skip to main content

Rectal Prolapse, Emergency Medicine

Marilyn M. Hallock Reviewed 06/2017
 


Basics

Description

  • Full-thickness evagination of the rectal wall outside the anal opening

  • 3 types of rectal prolapse:

    • Full-thickness prolapse:

      • Protrusion of the rectal wall through the anal canal; the mos...

Diagnosis

Signs and Symptoms

  • Dark red mass protrudes from the rectum

  • Possible mucous or bloody discharge

  • Sensation of rectal mass

  • Tenesmus

  • Constipation or incontinence

History

  • History with emphasis on bowel ...

Treatment

Pre-Hospital

  • Position of comfort

  • Prevent mucosal desiccation with moist gauze

  • Avoid trauma to mucosa

Initial Stabilization/Therapy

  • Stabilization generally not needed in simple prolapse

  • Incarcerate...

Follow-Up

Disposition

Admission Criteria

  • Necrotic or ischemic mucosa

  • Inability to reduce acute prolapse or frequently recurs

Discharge Criteria

  • Reduced rectal prolapse

  • Stable and tolerating PO

  • Instructions t...

Pearls and Pitfalls

  • Perform careful physical exam to differential rectal prolapse from polyps, hemorrhoids, and intussuscepted bowel

  • For large or difficult to reduce rectal prolapse, apply sugar to red...

Additional Reading

  • Demirel  AH, Ongoren  AU, Kapan  M, et al. Sugar application in reduction of incarcerated prolapsed rectum. Indian J Gastroenterol.  2007;26(4):196–197.

  • Gourgiotis  S, Baratsis ...

Codes

ICD9

569.1 Rectal prolapse 

ICD10

K62.3 Rectal prolapse 

SNOMED

  • 57773001 Rectal prolapse (disorder)

  • 71663002 Incomplete rectal prolapse

  • 197213004 Complete rectal prolapse

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×