Paediatrics: Rectal prolapse

Rectal prolapse

Rectal prolapse refers to a mucosal or full-thickness herniation of rectum through the anal canal.

• Most commonly seen in constipated toddlers squatting and straining.

• Rarely associated with diarrhoea, cystic fibrosis, and coeliac disease.

Management

• Often the prolapse reduces spontaneously after defecation. If not, gentle digital reduction should be performed.

• Constipation should be treated.

• Recurrent prolapse may be managed with submucous injection of 5% phenol in almond oil.

More complicated surgical procedures are rarely necessary.