RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Herrman, Nicholas W.C.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041491
T1 Rectal Prolapse
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181041491
RD 2023/03/31
AB Rectal  prolapse,  also  called  rectal  procidentia,  occurs  when  anorectal  tissue  protrudes  through  the  anus.  Prolapse  may  be  partial,  involving  only  the  mucosa,  or  complete,  involving  all  layers  of  the  rectal  wall.  Prolapse  may  result  from  laxity  of  the  pelvic  floor,  weak  anal  sphincters,  or  lack  of  mesorectal  fixation.  Patients  are  often  at  extremes  of  age  and  may  present  with  altered  bowel  habits,  rectal  mass,  straining  with  bowel  movements,  and  mucus  discharge.  Risk  factors  include  multiparity,  vaginal  delivery,  chronic  constipation,  and  cystic  fibrosis.  Rectal  prolapse  is  typically  painless.  Pain  as  a  presenting  symptom  should  prompt  consideration  of  other  diagnoses,  such  as  rectal  foreign  body,  neoplastic  process,  anorectal  abscess,  rectal  polyp,  or  external  hemorrhoids.