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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Rectal prolapse abdominal x ray

Introduction

Overview

Overview

Based on the radiological characteristics, rectal prolapse may be graded as internal rectal prolapse (recto-rectal intussusception and recto-anal intussusception) or external rectal prolapse (exteriorized rectal prolapse).

X Ray

X Ray

Standard defecography is a dynamic fluoroscopy study and a diagnostic method to visualize internal rectal prolapse radiologically, performed in the sitting position. After placing barium paste into the patient’s rectum, the patient is asked to squeeze to evacuate the barium.[1][2]

Oxford radiological rectal prolapse grading system:[1]
Grade Radiological characteristics
Internal rectal prolapse Recto_rectal intussusception I : High rectal Descends no lower than proximal limit of the rectocele
II : Low rectal Descends to the level of the rectocele, but not into sphincter/anal canal
Recto_anal intussusception III : High anal Descends onto sphincter/anal canal
IV : Low anal Descends into sphincter/anal canal
External rectal prolapse Exteriorized rectal prolapse V : Overt rectal prolapse Rectum protrudes from anus
References

References

  1. ↑ 1.0 1.1 Cariou de Vergie L, Venara A, Duchalais E, Frampas E, Lehur PA (2017). “Internal rectal prolapse: Definition, assessment and management in 2016”. J Visc Surg. 154 (1): 21–28. doi:10.1016/j.jviscsurg.2016.10.004. PMID 27865742.
  2. ↑ Patcharatrakul T, Rao S (2017). “Update on the Pathophysiology and Management of Anorectal Disorders”. Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]