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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Adult intussusception presenting as rectal prolapse.
Arshad Mahmood1, Qing Zhao Ruan, Richard O'Hara
1Department of Colorectal/General Surgery, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, UK.
BMJ Case Reports
|April 30, 2014
Summary
This case study highlights a rare instance of large bowel intussusception mimicking rectal prolapse in an elderly patient. Early diagnosis and surgical intervention are crucial, especially when malignancy is suspected.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Rectal prolapse is commonly considered benign in the elderly.
- Intussusception of the large bowel in adults is rare and can indicate malignancy.
Observation:
- An elderly male presented with symptoms suggestive of rectal prolapse after straining during defecation.
- Laparotomy revealed the condition to be an intussusception of the large bowel.
Findings:
- A villous adenoma was identified as the lead point of the intussusception.
- The patient underwent reduction resection with primary anastomosis and recovered well.
Implications:
- This case underscores the importance of considering malignancy in elderly patients presenting with rectal prolapse.
- Prompt diagnosis and appropriate surgical management are vital to prevent tumor seeding and ensure favorable outcomes.
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