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]
Entire Body System
- Surgical Procedure
OBJECTIVES: After it was introduced in China in 2000, the surgical procedure for prolapse and hemorrhoids (PPH) has become a widely accepted for third- and fourth-degree hemorrhoids. Stenosis of the lower rectum is one of the delayed complications. [ncbi.nlm.nih.gov]
[…] the anal sphincter muscle is cut to open the anal canal Surgical procedures to alleviate anal stenosis The procedure that is performed to relieve anal stenosis is called an anoplasty. [ddc.musc.edu]
When the symptoms of anal stenosis persist, they are usually a result of one or more of the following causes: Constipation or straining during bowel movements Anal or rectal tears Complications from a surgical procedure, such as a hemorrhoidectomy Irritation [tgh.org]
Fistulotomy Fistulotomy is a surgical procedure designed to repair an anal fistula. A fistula is an abnormal tunnel that can develop near the anal glands. [crscolumbus.com]
Repeated ulceration and healing can also result in scar tissue, as can surgical procedures for hemorrhoids, skin tags, anal dilation, and sphincterectomy. [listentoyourgut.com]
- Chronic Infection
She no longer suffers from chronic colds and infections, sleeps well through the night, and is playing and acting like a typical 6-year-old. [nutritionalwellness.com]
PERIANAL HIDRADENITIS SUPPURATIVA Hidradenitis suppurativa is chronic infection caused by occlusion of the apocrine glands by keratin comedo plugs. Secondary bacterial infection occurs and ruptures deep into the dermis (Fig. 11). [glowm.com]
- Neonatal Intestinal Obstruction
[…] ileus NOS ( P76.0 ) neonatal 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 [icd10data.com]
- Fishing
Fish oil, vitamin D and vitamin C – to boost her immunity and work to eliminate the signs of infection seen in testing. During the first three weeks following the above recommendations, Aubrey's mom noticed her daughter's abdomen was less bloated. [nutritionalwellness.com]
Gastrointestinal
- Constipation
It comes on slowly so the patient is not fully aware of the narrowing nd attributes it to "constipation". [proctocure.com]
The presence constipation in two generations of this family with YPS suggests that constipation could be a gastrointestinal manifestation of the condition. [consultant360.com]
Cause I'm thinking its probably the rectocele and not the rectal strictures causing my constipation. Both my gastro dr. and the surgeon say its just the rectal stricture and not the rectocele causing my constipation. [hystersisters.com]
He again suffered from daily bleeding, mucous discharge and obstinate constipation. [karger.com]
[…] picking up miralax today to hopefully keep any constipation away, and on wednesday she has an appointment to get it checked out. [center.babygaga.com]
- Abdominal Distension
A 2-day-old 3.5 kg male neonate presented with a 24-hour history of poor feeding and abdominal distension. Abdominal radiographs revealed pneumoperitoneum. [jpss.eu]
Koshigaya Branch, 1-13 Mashimori, Koshigaya 343-0012, Japan SUMMARY Pathological investigations of rectal constriction in 4 mal-developed pigs with abdominal distension were performed, and isolation of Salmonella spp. was attempted. [nichiju.lin.gr.jp]
An 84-year-old man seen for constipation and abdominal distension had on abdominal X-ray showing subileus findings. Neither physical nor laboratory examinations revealed any inflammatory findings. [ci.nii.ac.jp]
Case 2 A 3-year-old boy with a history of YPS presented with a history of chronic constipation since infancy, with persistent abdominal distension and infrequent bowel movements. He is the older sibling of the patient discussed in case 1 above. [consultant360.com]
- Dyschezia
Symptoms of constipation, a decrease in stool size, dyschezia, and tenes- mus will prompt patient evaluation. [scribd.com]
- Blood in Stool
[…] sedimentation rate, c-reactive protein, creatine kinase and vitamin D 25-hydroxy) hair analysis (toxic elements and essential elements), basic urine dipstick and blood occult stool test. [nutritionalwellness.com]
Musculoskeletal
- Muscle Spasm
Straining and pushing to get the stool out can cause more tearing (and as it heals, more scar tissue) along with hemorrhoids, strained rectal and anal muscles, spasm and aggravated nerves, including the pudendal nerve. [listentoyourgut.com]
Then of course, as you strain and push to get the stool out, this can cause more tearing (and as it heals, more scar tissue) along with hemorrhoids, strained rectal and anal muscles, spasm and aggravated nerves. [listentoyourgut.ca]
Skin
- Ulcer
Fig. 1. a Endoscopic appearance of a solitary rectal ulcer. In this case, circular stenosis and ulceration can be seen. b Macroscopic photograph of the surgical specimen. At the right margin, stenosis and ulceration are visible. [karger.com]
Anorectal ulceration eventually leading to rectal stenosis was observed in 10 patients who abused analgetic suppositories containing acetylsalicylic acid, acetaminophen, and codeine. [ncbi.nlm.nih.gov]
[…] action=getRecordDetail&idt=1607292 Other title Solitary rectal ulcer complicated by rectal stenosis. A case report (en) Author MSELMI, A1 ; SAKHRI, J1 ; YAKOUBI, M. [pascal-francis.inist.fr]
Does reduced-port laparoscopic surgery for medically uncontrolled ulcerative colitis do more harm than good? Asian J Endosc Surg. 2016;9:24–31. View Article PubMed Google Scholar Yamamoto T, Allan RN, Keighley MR. [surgicalcasereports.springeropen.com]
Journal of Clinical Gastroenterology: October 1993 Clinical Studies: PDF Only Abstract Anorectal ulceration eventually leading to rectal stenosis was observed in 10 patients who abused analgetic suppositories containing acetylsalicylic acid, acetaminophen [journals.lww.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]
Psychiatrical
- Fear
I live in fear of using the bathroom so I'm to the point where this has overtaken my life and I want to try and get it back. I've been battling this since the beginning of 2008. [anal-fissure.org]
They've all helped calm my fears the best they can but nothing can quite calm my fears the way God can. I've prayed and prayed over my sweet baby all afternoon as well. [whattoexpect.com]
After fearing a future of colostomy bags, this child has now gone months without an accident. She no longer suffers from chronic colds and infections, sleeps well through the night, and is playing and acting like a typical 6-year-old. [nutritionalwellness.com]
Fear of defecation may also be present. Often many of these symptoms overlap. Additionally, patients may present with fecal leakage or paradoxical diarrhea in the presence of obstructive symptoms or fecal overflow around impacted stool. [abdominalkey.com]
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]
Treatment
Surgical treatment was conservative. This observation outlines the dramatic consequences of chronic self-treatment and the difficulties of ensuring long-term withdrawal. [ncbi.nlm.nih.gov]
The treatment is medical, except in refractory or complicated cases. [scielo.isciii.es]
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 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]
Once these cancers become symptomatic, the prognosis worsens. When it is found at early stage I, 95 percent of patients with colorectal cancer survive at least five years. [aafp.org]
Etiology
In patients with YPS and constipation, careful assessment and physical examination should be done to exclude anal stenosis and other etiologies. [consultant360.com]
[…] 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]
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]
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]
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]
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]
Prevention Determine if there is a recurring time period when this first appears. Approximately three weeks prior to this look for trigger factors. [thepigsite.com]
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]
Making changes to diet and fluid intake, toilet habits and exercise can relieve symptoms and prevent recurrence of the problem. [crscolumbus.com]