Resumo
The rectal prolapse is very common in children under 3 years old. Rectal mucosae herniated in to the anal canal. The ethiologic causes are diarrhea, intestinal parasitosis, obstipation and desnutrition. The effort during the defecation, prolonged diarrhea and obstipation are important contribucting factors. The treatment in the majority of cases is medical treating factors like desnutrition, diarrheia and parasitosis. The authors report a case of a 3-month-old child with chronic diarrhea, severe desnutrition and recurrent rectal prolapse with perforation hole. This is a rare complication and considerations are made regarding the management of the case.
Rectal prolapse; Complications of
Rectal prolapse; Complications of
RELATOS DE CASOS
Evisceração do intestino delgado através de perfuração de prolapso retal em uma criança
Evisceration of the small intestine through the rectal prolapse perforation in chlldren
José Luiz Martins, TCBC-SPI; Renato Frota A. MaranhãoII; Márcia Emília Francisco ShidaIII; Maris Salete DemunerIII; Ricardo Argolo HaberIV; José Pinus, ECBC-SPV
IProfessor Adjunto Livre-Docente e Chefe da Disciplina de Cirurgia Pediátrica e Coordenador do Curso de Pós-Graduação em Cirurgia Pediátrica da UNIFESP- EPM
IIProfessor Assistente - Mestre da Disciplina de Cirurgia Pediátrica da UNIFESP - EPM
IIIPós-Graduanda da Disciplina de Cirurgia Pediátrica da UNIFESP - EPM
IVResidente da Disciplina de Cirurgia Pediátrica da UNIFESP - EPM
VProfessor Titular de Cirurgia Pediátrica da UNIFESP - EPM
Endereço para correspondência Endereço para correspondência: Dr. José Luiz Martins Rua dos Otonis, 131 04025-000 - São Paulo - SP
ABSTRACT
The rectal prolapse is very common in children under 3 years old. Rectal mucosae herniated in to the anal canal. The ethiologic causes are diarrhea, intestinal parasitosis, obstipation and desnutrition. The effort during the defecation, prolonged diarrhea and obstipation are important contribucting factors. The treatment in the majority of cases is medical treating factors like desnutrition, diarrheia and parasitosis. The authors report a case of a 3-month-old child with chronic diarrhea, severe desnutrition and recurrent rectal prolapse with perforation hole. This is a rare complication and considerations are made regarding the management of the case.
Key words: Rectal prolapse; Complications of
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Recebido em 2/6/97
Aceito para publicação em 1/12/97
Trabalho realizado no Departamento de Cirurgia da Disciplina de Cirurgia Pediátrica da Universidade Federal de São Paulo - Escola Paulista de Medicina - UFSP-EPM.
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1Aschcraft KW, Holder TM. Adquired anorectal disordes. In: Aschcraft KW, Holder TM (eds) - Pediatric Surgery. 2nd Ed. Philadelphia: W.B. Saunders Company, 1993. Pág. 410-5.
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2Voge1 PL, Kamstra PEJ. Rupture of the rectum with evisceration of small intestine through the anus: A comp1ication of advanced recta1 prolapse. Eur J Surg 160:187-8, 1994.
Endereço para correspondência:
Datas de Publicação
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Publicação nesta coleção
05 Ago 2010 -
Data do Fascículo
Abr 1998
Histórico
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Aceito
01 Dez 1997 -
Recebido
02 Jun 1997
