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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

909
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.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
909
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

319
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
319
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

353
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
353
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

290
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
290
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

492
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
492
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

355
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
355

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Related Experiment Video

Updated: Dec 20, 2025

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

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Strangled rectal prolapse in young adults: A case report.

Iyed Kraiem1, Tarek Kellil1, Mohamed Ali Chaouch1

  • 1Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.

Annals of Medicine and Surgery (2012)
|May 27, 2020
PubMed
Summary

Strangulated rectal prolapse (RP) is a rare surgical emergency. The Altemeier procedure, a perineal approach, is effective for managing this condition.

Keywords:
Altemeir procedureEmergentRectal prolapseStranguled

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Area of Science:

  • Colorectal Surgery
  • Surgical Emergencies

Background:

  • Rectal prolapse (RP) involves the protrusion of the rectum through the anus.
  • Strangulation of RP is a rare but critical complication requiring immediate surgical intervention.

Observation:

  • A 29-year-old male presented with a sudden, painful, irreducible rectal prolapse (25x10 cm).
  • Initial attempts at manual reduction failed; laboratory tests indicated infection.
  • The patient underwent emergent surgery involving rectosigmoidectomy with coloanal anastomosis (Altemeier technique) and diverting ileostomy.

Findings:

  • The Altemeier procedure was successfully performed for strangulated rectal prolapse.
  • Postoperative recovery was uneventful, with discharge on postoperative day five.

Implications:

  • The Altemeier procedure is a viable and effective surgical option for managing strangulated rectal prolapse.
  • Prompt surgical management is crucial for favorable outcomes in this rare emergency.