Prolapsus rectal chez un enfant de 3 ans 8 mois

Kerlivio, C. Frollo de; Willot, S.; Machet, Marie‐Christine; Lanotte, Philippe; Maurage, C.

doi:10.1016/j.arcped.2008.06.015

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Many case reports have recently published unique medical conditions presenting with rectal prolapse (2)(3)(4)(5)(6)10,11). We found 2 cases of patients presenting with rectal prolapse that were eventually diagnosed with celiac disease.…”

Section: Discussionmentioning

confidence: 80%

Rectal Prolapse in Children

Cares¹,

Klein²,

Thomas

et al. 2020

J. pediatr. gastroenterol. nutr.

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Background: Rectal prolapse is a protrusion of rectal mucosa through the anal sphincter. Although uncommon, it is seen more often in children, younger than 4 years of age. The last data analysis of rectal prolapse and its clinical characteristics in children was performed over 30 years ago. Since that time, many medical advances have occurred that may alter our workup and management of this disease in children. We performed a chart review to reassess the clinical characteristics of rectal prolapse and its management. Methods: This was a retrospective descriptive analysis study, assessing children less than 18 years of age that were diagnosed with rectal prolapse from 1999 to 2014 at a single tertiary care center. The onset of presentation, demographics, etiology, clinical characteristics, and management were analyzed. Results: A total of 158 patients were diagnosed with rectal prolapse, with mean age of onset being 3 years. Constipation was the leading cause, with straining being the most common complaint. Stool consistencies with constipation varied. Many patients diagnosed with idiopathic recurrent rectal prolapse had either a social stressor or were described as having unusual behaviors associated with prolapse. Cystic fibrosis was only diagnosed in 4 patients. Thirty-four patients (22%) required surgical correction. Conclusions: Constipation remains the main cause of rectal prolapse. Cystic fibrosis is no longer a common etiology for rectal prolapse, because of the implementation of newborn screening. Patients with social stressors or atypical behavior may be at risk for recurrent rectal prolapse.

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Section: Discussionmentioning

confidence: 80%

Rectal Prolapse in Children

Cares¹,

Klein²,

Thomas

et al. 2020

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

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Rectal Prolapse in Children: Significance and Management

Cares

El‐Baba

2016

Curr Gastroenterol Rep

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Rectal prolapse is a herniation of the rectum through the anus. It is rare in children. When it does occur, it is usually prior to 4 years of age and due to anatomical variants. A few conditions predispose children to rectal prolapse, the most common being constipation. Cystic fibrosis used to be commonly associated with rectal prolapse, but with the advent of cystic fibrosis newborn screening, this association is no longer as frequently seen. Many recent case reports, detailed in this chapter, describe conditions previously unknown to be associated with rectal prolapse. Management is usually supportive; however, rectal prolapse requires surgical management in certain situations. This review details the presentation of rectal prolapse, newly described clinical manifestations, and associated conditions, and up-to-date medical and surgical management.

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Rectal Prolapse in a Child: An Unusual Presentation of Clostridium difficile–Associated Pseudomembranous Colitis

Huang

Yang

2011

Pediatrics & Neonatology

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Pseudomembranous colitis after short-course antibiotics is rare in children. We report a 14-month-old girl who presented with rectal prolapse complicated with Clostridium difficile-associated pseudomembranous colitis after a 4-day course of oral cefuroxime for treatment of acute otitis media. Abdominal sonogram showed a pelvic mass, and computed tomography revealed thickened wall of the rectum. Sigmoidoscopy demonstrated discrete yellowish plaques adherent to an edematous mucosa. Stool cultures for C difficile were positive and C difficile toxins A and B were detected in her stool. Histological examination of colonic biopsy showed superficial erosion of the mucosa and the adherent pseudomembranes. She achieved a full recovery after discontinuing cefuroxime. Our case implied that C difficile infection should be considered in children presenting with rectal prolapse, especially when they are taking or have recently received antibiotic therapy. Supportive therapy and discontinuation of antibiotics are generally sufficient for patients with C difficile-associated pseudomembranous colitis who present with mild diarrheal illness.

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Prolapsus rectal chez un enfant de 3 ans 8 mois

Cited by 4 publications

References 6 publications

Rectal Prolapse in Children

Rectal Prolapse in Children

Rectal Prolapse in Children: Significance and Management

Rectal Prolapse in a Child: An Unusual Presentation of Clostridium difficile–Associated Pseudomembranous Colitis

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