儿童完全性直肠脱垂：病例报告、文献综述及最新治疗趋势
Complete Rectal Prolapse in Children: Case Report, Review of Literature, and Latest Trends in Management.
作者信息
Meshram Girish Gulab, Kaur Neeraj, Hura Kanwaljeet Singh
机构信息
Department of Pharmacology, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
Department of Radiology, University of Texas Health Science Centre, San Antonio, Texas, USA.
出版信息
Open Access Maced J Med Sci. 2018 Sep 21;6(9):1694-1696. doi: 10.3889/oamjms.2018.376. eCollection 2018 Sep 25.
BACKGROUND
Complete rectal prolapse is the circumferential descent of all the layers of the rectum through the anus. It often leads to bleeding, obstructed defecation, incarceration or fecal incontinence.
CASE REPORT
We present a rare case of a 4-year-old child with complete rectal prolapse of 12 cm in length. The prolapsed rectum was manually repositioned after reducing the oedema. The precipitating factor was identified as excessive straining while passing stools. A change in position while passing stools was advised along with a high fibre diet and a stool softener. Recurrence was not observed in the 3 month of follow-up.
CONCLUSION
Most cases of pediatric rectal prolapse are managed conservatively by addressing the associated and precipitating etiological factors. Surgical intervention may be required for recurrent or persistent cases.
背景
完全性直肠脱垂是指直肠各层经肛门呈环形下移。它常导致出血、排便梗阻、嵌顿或大便失禁。
病例报告
我们报告一例罕见的4岁儿童完全性直肠脱垂病例，脱垂长度达12厘米。在减轻水肿后，脱垂的直肠通过手法复位。诱发因素被确定为排便时过度用力。建议排便时改变体位，同时采用高纤维饮食和使用大便软化剂。在3个月的随访中未观察到复发。
结论
大多数小儿直肠脱垂病例通过处理相关的诱发病因进行保守治疗。复发性或持续性病例可能需要手术干预。
Zotero 插件