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Related Experiment Videos

Rectal prolapse during pregnancy. A case report.

A J Viera1, M Larkins-Pettigrew

  • 1Department of Family Practice, Naval Hospital Jacksonville, Florida 32214, USA. vieraa19@idt.net

The Journal of Reproductive Medicine
|February 9, 2000
PubMed
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Rectal prolapse during pregnancy is rare. This case report details managing a large prolapse during gestation with manual reduction and stool softeners, followed by delivery and postpartum repair.

Area of Science:

  • Gastroenterology
  • Obstetrics
  • Colorectal Surgery

Background:

  • Rectal prolapse is an uncommon surgical issue, typically affecting individuals between their fifth and seventh decades, with a higher prevalence in women.
  • Pregnancy-associated rectal prolapse is exceptionally rare, with no previous case reports documented in medical literature.

Purpose of the Study:

  • To present a unique case of a pregnant woman experiencing significant rectal prolapse.
  • To discuss the management strategies for rectal prolapse during pregnancy and postpartum.

Main Methods:

  • A 33-year-old pregnant woman at 33 weeks' gestation presented with a large rectal prolapse.
  • Initial management involved manual reduction under local anesthesia, followed by conservative measures including stool softeners and self-reduction techniques.

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  • Delivery was induced at 40 weeks, utilizing epidural anesthesia and low-outlet forceps, with definitive surgical repair performed eight weeks postpartum.

    • Main Results:

    • Manual reduction of the rectal prolapse was successful during pregnancy.
    • The patient delivered a healthy infant via assisted forceps delivery.
    • Postpartum surgical repair of the rectal prolapse was successfully completed.

    Conclusions:

    • Rectal prolapse during the childbearing years is rare; this is the first reported case during pregnancy.
    • Childbirth is not a direct risk factor, but prior perineal lacerations may increase susceptibility.
    • Management of pregnancy-related rectal prolapse may benefit from assisted vaginal delivery under epidural anesthesia to mitigate prolapse exacerbation.