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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Appendicitis01:19

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

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Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

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Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Related Experiment Video

Updated: May 4, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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Retrorectal epidermoid presenting as difficulty in bowel evacuation.

Vineet K Verma1

  • 1Department of Surgery, Hardoi Nursing Home, Hardoi, UP India.

The Indian Journal of Surgery
|January 16, 2014
PubMed
Summary

This report details a rare retrorectal epidermoid tumor, diagnosed via digital rectal exam and sonography. Surgical removal was successfully achieved through a perineal approach.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Retrorectal epidermoid tumors are exceptionally rare entities.
  • Accurate diagnosis and surgical management are crucial for patient outcomes.

Purpose of the Study:

  • To present a rare case of retrorectal epidermoid tumor.
  • To describe the diagnostic and therapeutic approach.
  • To review the existing literature on this rare condition.

Main Methods:

  • Diagnosis was established using digital rectal examination and sonography.
  • The tumor was surgically excised via a perineal approach.

Main Results:

  • Successful removal of the retrorectal epidermoid tumor was accomplished.
Keywords:
Presacral dermoidTumours

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  • The case highlights the feasibility of the perineal approach for such tumors.
  • Conclusions:

    • Retrorectal epidermoid tumors, though rare, can be diagnosed with clinical and imaging methods.
    • The perineal approach is a viable surgical option for resection.