Rectal Prolapse in Children: Significance and Management

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Updated: Mar 22, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
07:41

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

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Kristen Cares1, Mohammad El-Baba2

  • 1Department of Pediatric Gastroenterology, Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI, 48201, USA. kcares@dmc.org.

Current Gastroenterology Reports
|April 18, 2016
PubMed

Insights

Pediatric rectal prolapse, often linked to constipation, is rare but can signal underlying issues. Management ranges from supportive care to surgery, with new associated conditions emerging.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal prolapse involves rectal herniation through the anus, uncommon in children, typically under four years old.
  • Constipation is the most frequent predisposing factor in pediatric rectal prolapse.
  • Newborn screening for cystic fibrosis has reduced its association with rectal prolapse.

Purpose of the Study:

  • To review the presentation and newly identified clinical manifestations of pediatric rectal prolapse.
  • To discuss associated conditions and updated medical and surgical management strategies.
  • To highlight recent case reports detailing novel associations with rectal prolapse.

Main Methods:

  • Literature review of pediatric rectal prolapse cases and management.
  • Analysis of recent case reports and clinical findings.
  • Synthesis of current medical and surgical treatment guidelines.

Main Results:

  • Rectal prolapse in children is often linked to anatomical variants and conditions like constipation.
  • Emerging case reports reveal previously unrecognized conditions associated with rectal prolapse.
  • Management strategies vary from conservative approaches to surgical intervention.

Conclusions:

  • Early identification and management of pediatric rectal prolapse are crucial.
  • Understanding associated conditions aids in comprehensive patient care.
  • Continued research is needed to further elucidate the etiology and optimize treatment for pediatric rectal prolapse.

Keywords:
ConstipationCystic fibrosisInjection sclerotherapyRectal prolapseSolitary rectal ulcer syndrome

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