DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175301

Rectal prolapse in pregnancy: a case report

Isha Sunil, Manisha Kohli

Abstract


Rectal prolapse is complete or partial protrusion of rectal tissue through the anus to the exterior of the body. It generally occurs after 60 years of age and is more common in women than men. Here we present a case report of 30 years old G3P1L1A1 with 37 weeks gestation age with complaint of mass protruding per rectum and diagnosed as rectal prolapse which is uncommon during childbearing years. Its management during pregnancy is mostly conservative and definite treatment is deferred until delivery. Rectal prolapse is not a contraindication for vaginal delivery and low outlet forceps deliveries have been mentioned in literature. However, most obstetricians prefer caesarean section to prevent a difficult vaginal delivery and perineal trauma to the patient that could further aggravate rectal prolapse


Keywords


Pregnancy, Rectal prolapse

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References


Altomare DF, Pucciani F. Rectal Prolapse: Diagnosis and Clinical Management. Springer. 2007;12.

Madhulika G, Varma MD. Prolapse, Intussusception, and SRUS". ASCRS. 2012.

Kim, Donald G. ASCRS core subjects: prolapse and intussusception. ASCRS. 2012.

Wolff BG. The ASCRS textbook of colon and rectal surgery. New York: Springer; 2007:674.

Wexner SD, Zbar AP. Coloproctology. New York: Springer; 2010:143.

Yamada T, Alpers DH. Textbook of gastroenterology. 5th ed. Chichester. West Sussex: Blackwell Pub; 2009;1725.

Viera AJ, Larkin-Pettigrew M. Rectal prolapse during pregnancy. A case report. J Reprod Med 2000;45(1):45-7.