Edit concept Question Editor Create issue ticket

Rectal Stenosis

Stenosis of the Rectum


Presentation

  • However, breast cancer metastasis should be considered when carcinomatous peritonitis is present in a patient with an unknown primary cancer.[ncbi.nlm.nih.gov]
  • Case Presentation A 58-year-old male patient presented for further investigation of chronic constipation in our outpatient clinic. He reported obstructive defecation with the need for manual disimpaction (four times a week).[karger.com]
Neonatal Intestinal Obstruction
  • intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Obstruction, obstructed, obstructive rectum K62.4 Occlusion, occluded anus K62.4 Pectenosis[icd10data.com]
Hodgkin Lymphoma
  • Several biopsies from the tumoral mass failed to show any stigmata of non-Hodgkin's lymphoma, adenocarcinoma, or Kaposi sarcoma. No parasites could be detected in rectal biopsies.[ncbi.nlm.nih.gov]
Dyschezia
  • Symptoms of constipation, a decrease in stool size, dyschezia, and tenes- mus will prompt patient evaluation.[scribd.com]
Skin Lesion
  • Perianal skin lesions were present in half of the patients.[ncbi.nlm.nih.gov]
  • It can be applied in weekly intervals to the perianal skin lesions, but should not be applied within the anal canal.[glowm.com]
Neglect
  • Although classed as a minor anomaly, if neglected, becomes a major one requiring urgent surgical treatment. We present a case of rectal perforation secondary to anal stenosis in an apparently normal looking anus.[jpss.eu]
Renal Insufficiency
  • During his hospitalization, he presented traumatic acute pancreatitis with ischemic colitis because of hypotension, and acute renal insufficiency treated by hemofiltration and Kayexalate administered by nasogastric tube without sorbitol.[ncbi.nlm.nih.gov]
Salpingitis
  • The first case involved a 21-year old female hospitalized with ileus following uterus extirpation due to salpingitis. Explorative laparotomy followed long-term treatment of an abdominal resistance caused by inflammation to rule out malignancy.[popline.org]

Workup

  • Histological workup showed focal ulceration, fibrino-leucocytar exudation, hypertrophied muscularis mucosae and regeneration crypts compatible with mucosal prolapse/SRUS (fig. 1 c).[karger.com]
  • She did an exam and sent us to a pediatric surgeon to do a workup for anal stenosis, meaning she believes her anus is too narrow for her age.[forums.thebump.com]
Entamoeba Histolytica
  • histolytica inflammatory bowel disease (IBD), a disorder or inflammation of the colon and small intestine There is a condition known as Anal Crohn's disease that mimics the symptoms of anal stenosis.[ddc.musc.edu]

Treatment

  • The role of the double-contrast barium enema in suggesting the diagnosis of this complication of a chronic and often unrecognized self-treatment is emphasized.[ncbi.nlm.nih.gov]

Prognosis

  • For these children, a colostomy is indicated during the newborn period, but once the final surgery corrects the defect, the prognosis is likewise excellent.[drgreene.com]
  • Prognosis is good as far as anal continence is concerned because the anal sphincter complex development is normal.[saudisurgj.org]
  • The prognosis of a stenosis of the rectum rather favorable. In the late period in 90% of patients have a complete recovery and restoration of a satisfactory evacuation function of the lower intestine.[medicalformat.com]
  • The long term prognosis for normal urethral and rectal function is good.[findmeacure.com]
  • The decision to undertake this procedure depends on a variety of factors, inclusive of the age, pregnancy desires, medical condition and prognosis.[analcancerfoundation.org]

Etiology

  • […] may not be the same for males and females. [1], [5] Stephens and Donnellan [5], [8] have proposed impaired alignment of the cranial and caudal septal dividing the internal cloaca as the etiology of the H-type fistula.[saudisurgj.org]
  • The etiology of SRUS remains uncertain; however, in addition to mechanical injury, local ischemia from pressure of impacted stool and prolapse may be an important contributing factor.[karger.com]
  • In patients with YPS and constipation, careful assessment and physical examination should be done to exclude anal stenosis and other etiologies.[consultant360.com]
  • Nogueras, MD* Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA Definition, etiology, and incidence Anal stenosis (AS) or stricture is defined as the loss of compliant natural elasticity of[scribd.com]
  • In this study, mice that were unable to express FGF10 and FGF receptor 2b developed colonic atresia, even though their mesenteric vasculature was normal during periods when atresias were developing; this suggests that the etiology of colonic atresia may[emedicine.medscape.com]

Epidemiology

  • Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3-18. Tabbers MM, DiLorenzo C, Berger MY, et al.[consultant360.com]
  • Proc R Soc Med 71:180–185 Google Scholar Trombetta LJ, Place RJ (2001) Giant condyloma acuminatum of the anorectum: trends in epidemiology and management: report of a case and review of the literature.[link.springer.com]
  • Epidemiology of genital human papillomavirus infections. Epidemiol Rev. 1998;10:122–63. ... 2. Pfenninger JL. Androscopy: a technique for examining men for condyloma. J Fam Pract. 1989;29:286–8. 3. Centers for Disease Control and Prevention.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • Possible pathophysiological mechanisms include mucosal prostaglandin depletion secondary to blockade of cyclooxygenase and shift to lipoxygenase products in the arachidonic acid cascade.[ncbi.nlm.nih.gov]
  • Possible pathophysiological mechanisms include mucosal prostaglandin depletion secondary to blockade of cycloxygenase and shift to lipoxygenase products in the arachidonic acid cascade.[journals.lww.com]
  • Zhu QC, Shen RR, Quin HL, Wang Y: Solitary rectal ulcer syndrome: clinical features, pathophysiology, diagnosis and treatment strategies. World J Gastroenterol 2014; 20: 738–744. Author Contacts M. Gruber St.[karger.com]

Prevention

  • We believe that this technique is safe and feasible for short rectal stenotic segments and might prevent the need for major reconstruction surgery.[ncbi.nlm.nih.gov]
  • Some common preventative measures are: fiber supplements; more fiber in your diet naturally softens stools, allowing them to pass more easily stool softeners or emollient laxatives, which add moisture to the stool sphincterotomy, a procedure in which[ddc.musc.edu]
  • It follows logically that a substance that can prevent scar tissue formation should also be able to soften or dissolve existing scar tissue, and DMSO does not disappoint. Aloe Vera – is antibacterial and antifungal.[listentoyourgut.com]
  • In underdeveloped fixing and supporting devices may require reconstructive surgery for the prevention of rectal prolapse. Compensated subcompensated and acquired stenosis of the rectum small extent also used conservative measures. Use Bougie Gegara.[medicalformat.com]
  • This case report of rectal perforation in a neonate secondary to anal stenosis discusses the associated diagnostic and management complexities in order to prevent future complications.[jpss.eu]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!