Dhadve Rajshree U, Krishnani Karishma S, Kalekar Tushar, Durgi Eshan C, Agarwal Urvashi, Madhu Suhas, Kumar Divyajat
Department of Radiodiagnosis, Dr. D.Y. Patil Medical College, Hospital and Research Center, Dr D.Y. Patil Vidyapeeth, Pune, India.
SA J Radiol. 2024 Oct 11;28(1):2935. doi: 10.4102/sajr.v28i1.2935. eCollection 2024.
Disorders related to defaecation are widely common in the population and are often overlooked. Patients may present with a wide variety of symptoms such as constipation, faecal incontinence, painful defaecation, incomplete defaecation, hard stools, rectal bleeding, and mass per rectum. Complete clinical examination with radiological imaging, using dynamic MR Defaecography, can help in assessing, grading, and managing posterior compartment pelvic floor disorders and complex dysfunctions. The cases reveal a spectrum of pelvic floor disorders and complex dysfunctions including spastic pelvic floor syndrome, Grade 3 anorectal descent with rectocoele and cystocoele, tri-compartmental descent with obstructed defaecation syndrome, complete external rectal prolapse with Grade 3 abnormal anorectal descent and rectal intussusception.
This case series emphasises the importance of understanding the correlation of clinical and radiological imaging findings in posterior compartment pelvic floor dysfunctions through a series of cases presenting with clinical complaints related to defaecation.
排便相关疾病在人群中广泛存在且常被忽视。患者可能出现多种症状,如便秘、大便失禁、排便疼痛、排便不尽、大便干结、直肠出血及直肠肿物。使用动态磁共振排粪造影进行完整的临床检查及影像学检查,有助于评估、分级和处理后盆腔盆底疾病及复杂功能障碍。这些病例揭示了一系列盆底疾病及复杂功能障碍,包括痉挛性盆底综合征、伴有直肠膨出和膀胱膨出的3级直肠肛管下移、伴有排便梗阻综合征的三腔下移、伴有3级异常直肠肛管下移和直肠套叠的完全性直肠外脱垂。
本病例系列通过一系列有排便相关临床症状的病例,强调了理解后盆腔盆底功能障碍的临床与影像学检查结果相关性的重要性。