Rectoanal mucosal intussusception and rectocoele

Case contributed by Dr Vikas Shah


Difficult defaecation with prolonged and excessive straining required

Patient Data

Age: 55 years
Gender: Female

The pelvic floor has a normal position at rest. There is satisfactory opening of the anorectal angle at the onset of defaecation. At evacuation progresses, a moderate sized anterior rectocoele develops. Thickening and descent of the mid and low rectal mucosa is seen particularly posteriorly, causing some obstruction to the passage of further barium paste, and causing trapping within the rectocoele.

Case Discussion

These findings indicate a grade III rectoanal intussusception (limited to mucosa) with a moderate anterior rectocoele, and explain the patient's symptoms relating to obstructed defaecation.

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Case information

rID: 50430
Case created: 4th Jan 2017
Last edited: 7th Mar 2018
Inclusion in quiz mode: Included

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