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Rectocele in children: a case report

Sunny Z Hussain1, Gary D Dunn, Mark F Brown

  • 1Department of Pediatrics, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USA.

Journal of Pediatric Surgery
|November 2, 2010
PubMed

Insights

Rectocele, a rectal protrusion into the vagina causing obstructed defecation, is rarely seen in children. This study presents three pediatric cases, with surgical intervention proving effective for symptom resolution.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urogynecology

Background:

  • Rectocele, characterized by anterior rectal wall protrusion into the vagina, typically presents with obstructed defecation.
  • This condition is predominantly observed in adult females, with limited documentation in males and no prior reports in pediatric populations.

Observation:

  • Three pediatric cases of rectocele with obstructed defecation, including constipation and refractory straining, are presented.
  • Diagnosis was confirmed using defecography.
  • Two patients underwent surgical treatment, while one received conservative management.

Findings:

  • Surgical intervention resulted in complete resolution of rectocele symptoms in the pediatric patients.
  • Postoperative recovery was uneventful for surgically treated individuals.

Implications:

  • Further multicenter studies utilizing radiologic assessments are recommended for children with refractory constipation to better define pediatric rectocele.
  • Early identification and management may prevent severe rectal and uterovaginal prolapse in children.

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