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Rectal Stenosis

Stenosis of the Rectum


Presentation

  • CASE PRESENTATION: A 69-year-old Japanese woman presented to our hospital for treatment of constipation. Although rectal stenosis was confirmed, thorough testing of her lower digestive tract did not identify its cause.[ncbi.nlm.nih.gov]
  • Author information 1 Urology Department, University of California, Irvine, Children's Hospital of Orange County, CA 92868, USA. [email protected] Abstract We present a rare case of female newborn that presented with atypical genitalia, vaginal atresia and[ncbi.nlm.nih.gov]
  • Abstract The authors report the case of a 74-year-old woman presenting a rectal stenosis that arose after the prolonged use of suppositories containing an association of paracetamol and acetylsalicylic acid (Perdolan).[ncbi.nlm.nih.gov]
  • Perianal skin lesions were present in half of the patients.[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]
Atrial Septal Defect
  • He had atrial septal defect detected at two-dimensional echocardiography. On examination, his perineum was well developed and the external genitalia were normal.[saudisurgj.org]
Skin Lesion
  • Perianal skin lesions were present in half of the patients.[ncbi.nlm.nih.gov]
  • Anal wall full week to understand whether the female rectal vagina is affected, Zhu Huanzhe for defecation movements, observe the anus dug out the situation, low lesions, skin lesions around the anus.[healthfrom.com]
  • It can be applied in weekly intervals to the perianal skin lesions, but should not be applied within the anal canal.[glowm.com]
Flushing
  • The anvil was screwed on the shaft through the colotomy opening until it was flush at the site of the central hole. The gun was then fired.[annsaudimed.net]

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

  • Abstract Self-treatment of chronic headache with suppositories containing paracetamol and acetylsalicylic acid may lead to serious complications.[ncbi.nlm.nih.gov]
  • This off-label treatment was repeated as necessary, depending on the clinical success. RESULTS: Topic IFX injection after balloon dilation reduced imperative stool pressure, isolated episodes of incontinence and incomplete emptying.[ncbi.nlm.nih.gov]
  • 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]
  • Most patients require repeated treatments.[ncbi.nlm.nih.gov]
  • Treatment options include drug cessation, topical steroids, and endoscopic dilation. Supporting psychological therapy often is necessary.[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 is satisfactory with regard to the continence. This is attributed to the presence of normal sphincter complex and perineal musculature in this anomaly that are necessary for continence [1-3,5]. References 1.[jneonatalsurg.com]
  • The long term prognosis for normal urethral and rectal function is good.[findmeacure.com]
  • 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

  • Etiology Etiology classification One, anal narrowing Anus stenosis occurs at the junction of the anus and anal canal between the skin and mucous membranes of the anal membrane degeneration of the fiber band caused by narrow.[healthfrom.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]
  • Various theories have been circulated as to the etiology of the malformation but most authors consider it secondary to mesenteric vascular accident [1].[jneonatalsurg.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]
  • In patients with YPS and constipation, careful assessment and physical examination should be done to exclude anal stenosis and other etiologies.[consultant360.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. Copyright 2013 Elsevier Inc. All rights reserved.[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]
  • Prevention 1. Attention to the anus, rectal accidental injury, to maintain smooth stool, to develop good bowel habits. 2.[healthfrom.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]

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