A case of paediatric rectal prolapse without spontaneous reduction on arrival

Description

Most cases of rectal prolapse in children are naturally reduced; thus, cases without spontaneous reduction are extremely uncommon.1 We report a girl (aged 2 years 8 months) with paediatric rectal prolapse without spontaneous reduction on arrival at the emergency department.

Although the patient had not been diagnosed with any specific disease, she had a history of hard stools and difficulty defecating. Four days before arriving at the hospital, she began toilet training to stop using diapers. She came to the hospital at night with her parents who described 'gut escaping from her anus'. On examination, she showed prolapse of the entire circumference of the rectum from the anus with mucosal bleeding (figure 1). Manipulative reduction was performed and she returned home, but the escape recurred several times. Considering her age and underlying constipation, we started outpatient management of constipation before referral to paediatric surgeon....

http://ift.tt/2qRO8F0