Rectal prolapse - Revision history

Michael: /* Sign out */

2018-11-29T20:01:19Z

Sign out

← Older revision		Revision as of 20:01, 29 November 2018
Line 63:		Line 63:

	==Sign out==		==Sign out==
			<pre>
			Rectum, Excision:
			- Colorectal wall with mild chronic mucosal inflammation,
			and prominent submucosal fibrous tissue with dilated-appearing vessels.
			- NEGATIVE for dysplasia and NEGATIVE for malignancy.
			</pre>

			===Block letters===
	<pre>		<pre>
	RECTAL MUCOSA, DELORME PROCEDURE:		RECTAL MUCOSA, DELORME PROCEDURE:

Michael: /* See also */

2016-05-16T15:20:58Z

Michael: touch

2014-12-16T07:10:47Z

touch

← Older revision		Revision as of 07:10, 16 December 2014
Line 1:		Line 1:
	{{ Infobox diagnosis		{{ Infobox diagnosis
	\| Name = {{PAGENAME}}		\| Name = {{PAGENAME}}
	\| Image = Rectal_prolapse_-_intermed_mag.jpg		\| Image = Rectal_prolapse_-_intermed_mag.jpg
	\| Width =		\| Width =
	\| Caption = Fibromuscular hyperplasia as seen in rectal prolapse. [[H&E stain]].		\| Caption = Fibromuscular hyperplasia as seen in rectal prolapse. [[H&E stain]].

Michael: /* Sign out */

2014-01-17T17:03:25Z

Sign out

← Older revision		Revision as of 17:03, 17 January 2014
Line 67:		Line 67:
	- SUPERFICIAL RECTAL WALL WITH FIBROMUSCULAR HYPERPLASIA AND EDEMA.		- SUPERFICIAL RECTAL WALL WITH FIBROMUSCULAR HYPERPLASIA AND EDEMA.
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			RECTAL MUCOSA, DELORME PROCEDURE:
			- SUPERFICIAL RECTAL WALL WITH FIBROMUSCULAR HYPERPLASIA, EDEMA, MILD INFLAMMATORY
			CHANGES, AND FOCAL REACTIVE CHANGES;
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

Michael: /* Sign out */

2013-12-31T17:30:59Z

Sign out

← Older revision		Revision as of 17:30, 31 December 2013
Line 69:		Line 69:
	</pre>		</pre>

	===Micro===		====Micro====
	The sections show rectal mucosa, submucosa and a small amount of muscularis propria. The mucosa shows fibromuscular hyperplasia with thickening of the muscularis mucosae and mild lamina propria fibrosis. The submucosa is edematous. The small amount of muscularis propria is unremarkable. The epithelium matures normally to the surface. No significant nuclear atypia is identified.		The sections show rectal mucosa, submucosa and a small amount of muscularis propria. The mucosa shows fibromuscular hyperplasia with thickening of the muscularis mucosae and mild lamina propria fibrosis. The submucosa is edematous. The small amount of muscularis propria is unremarkable. The epithelium matures normally to the surface. No significant nuclear atypia is identified.

			===Ischemic changes present===
			<pre>
			RECTAL MUCOSA, DELORME PROCEDURE:
			- SUPERFICIAL RECTAL WALL WITH REACTIVE CHANGES, ISCHEMIC CHANGES AND FIBROMUSCULAR
			HYPERPLASIA, SEE COMMENT.
			- NEGATIVE FOR MALIGNANCY.

			COMMENT:
			The changes are compatible with prolapse (fibromuscular hyperplasia) and suggestive of
			concurrent ischemia (see microscopic).

			The mucosal reactive changes are marked. No definite dysplasia is identified; however, it
			is difficult to completely exclude. Follow-up is recommended.
			</pre>

			====Micro====
			The sections show superficial rectal wall with ischemic changes (focal cryptitis, marked
			reactive epithelial changes, erosions, capillary congestion, goblet cell paucitity,
			epithelium with attenuated cytoplasm) and changes compatible with prolapse (fibromuscular
			hyperplasia).

	==See also==		==See also==

Michael at 17:18, 31 December 2013

2013-12-31T17:18:26Z

← Older revision		Revision as of 17:18, 31 December 2013
Line 5:		Line 5:
	\| Caption = Fibromuscular hyperplasia as seen in rectal prolapse. [[H&E stain]].		\| Caption = Fibromuscular hyperplasia as seen in rectal prolapse. [[H&E stain]].
	\| Synonyms =		\| Synonyms =
	\| Micro = fibromuscular hyperplasia: lamina propria fibrosis and muscle, thick muscularis propria, +/-ischemic changes		\| Micro = fibromuscular hyperplasia: lamina propria fibrosis and lamina propria muscle, thick muscularis propria, submucosal fibrosis, +/-ischemic mucosal changes
	\| Subtypes =		\| Subtypes =
	\| LMDDx =		\| LMDDx =

Michael at 17:17, 31 December 2013

2013-12-31T17:17:52Z

← Older revision		Revision as of 17:17, 31 December 2013
Line 54:		Line 54:
	Notes:		Notes:
	*'''Important negative''': no nuclear atypia.		*'''Important negative''': no nuclear atypia.
			**May be seen if ischemic changes are present.

	===Images===		===Images===

Michael: +infobox

2013-12-31T17:16:17Z

+infobox

← Older revision		Revision as of 17:16, 31 December 2013
Line 1:		Line 1:
			{{ Infobox diagnosis
			\| Name = {{PAGENAME}}
			\| Image = Rectal_prolapse_-_intermed_mag.jpg
			\| Width =
			\| Caption = Fibromuscular hyperplasia as seen in rectal prolapse. [[H&E stain]].
			\| Synonyms =
			\| Micro = fibromuscular hyperplasia: lamina propria fibrosis and muscle, thick muscularis propria, +/-ischemic changes
			\| Subtypes =
			\| LMDDx =
			\| Stains =
			\| IHC =
			\| EM =
			\| Molecular =
			\| IF =
			\| Gross =
			\| Grossing =
			\| Site = [[rectum]]
			\| Assdx =
			\| Syndromes =
			\| Clinicalhx = women - multiparous & postmenopausal
			\| Signs = "rectal mass"
			\| Symptoms =
			\| Prevalence = not common
			\| Bloodwork =
			\| Rads =
			\| Endoscopy =
			\| Prognosis = benign
			\| Other =
			\| ClinDDx = rectal carcinoma (rarely)
			\| Tx = surgery
			}}
	'''Rectal prolapse''' is a benign pathology of the [[rectum]], typically seen in women that are multiparous and postmenopausal.		'''Rectal prolapse''' is a benign pathology of the [[rectum]], typically seen in women that are multiparous and postmenopausal.

Line 18:		Line 49:
	**Muscularis mucosae is "too superficial" (muscle in the lamina propria).		**Muscularis mucosae is "too superficial" (muscle in the lamina propria).
	*Surface ulceration + inflammation ([[neutrophil]]s).		*Surface ulceration + inflammation ([[neutrophil]]s).
			**May show frank ischemic changes - see ''[[ischemic colitis]]''.
	*+/-Serration of epithelium at the surface.		*+/-Serration of epithelium at the surface.

Line 41:		Line 73:
	==See also==		==See also==
	*[[Rectum]].		*[[Rectum]].
			*[[Solitary rectal ulcer]].

	==References==		==References==

Michael: split out

2013-12-31T17:10:19Z

split out

← Older revision		Revision as of 17:10, 31 December 2013
Line 1:		Line 1:
	~~#redirect~~ [[~~Colon#Rectal prolapse~~]]		'''Rectal prolapse''' is a benign pathology of the [[rectum]], typically seen in women that are multiparous and postmenopausal.

			==General==
			*Usually close to the anal verge.
			*Rare forms can occasionally be confused with [[colorectal carcinoma\|cancer]].<ref name=pmid19861563>{{cite journal \|author=Brosens LA, Montgomery EA, Bhagavan BS, Offerhaus GJ, Giardiello FM \|title=Mucosal prolapse syndrome presenting as rectal polyposis \|journal=J. Clin. Pathol. \|volume=62 \|issue=11 \|pages=1034–6 \|year=2009 \|month=November \|pmid=19861563 \|pmc=2853932 \|doi=10.1136/jcp.2009.067801 \|url=}}</ref>

			Epidemiology:
			*~90% women, postmenopausal and multiparous.<ref name=pmid22413077>{{Cite journal \| last1 = Lee \| first1 = S. \| last2 = Kye \| first2 = BH. \| last3 = Kim \| first3 = HJ. \| last4 = Cho \| first4 = HM. \| last5 = Kim \| first5 = JG. \| title = Delorme's Procedure for Complete Rectal Prolapse: Does It Still Have It's Own Role? \| journal = J Korean Soc Coloproctol \| volume = 28 \| issue = 1 \| pages = 13-8 \| month = Feb \| year = 2012 \| doi = 10.3393/jksc.2012.28.1.13 \| PMID = 22413077 }}</ref>

			Treatment:
			*Surgical:
			**Delorme procedure = mucosa stripped.

			==Microscopic==
			Features:<ref name=pmid3234303>{{cite journal \|author=Schneider A, Fritze C, Bosseckert H, Machnik G \|title=[Primary clinical, endoscopic and histologic findings in solitary rectal ulcer] \|language=German \|journal=Dtsch Z Verdau Stoffwechselkr \|volume=48 \|issue=3-4 \|pages=183–9 \|year=1988 \|pmid=3234303 \|doi= \|url=}}</ref>
			*"Fibromuscular hyperplasia" - '''key feature''':
			**Fibrosis (submucosa, lamina propria).
			**Muscularis mucosae is "too superficial" (muscle in the lamina propria).
			*Surface ulceration + inflammation ([[neutrophil]]s).
			*+/-Serration of epithelium at the surface.

			Notes:
			*'''Important negative''': no nuclear atypia.

			===Images===
			<gallery>
			Image:Rectal_prolapse_-_low_mag.jpg \| Rectal prolapse - low mag. (WC/Nephon)
			Image:Rectal_prolapse_-_intermed_mag.jpg \| Rectal prolapse - intermed. mag. (WC/Nephron)
			</gallery>

			==Sign out==
			<pre>
			RECTAL MUCOSA, DELORME PROCEDURE:
			- SUPERFICIAL RECTAL WALL WITH FIBROMUSCULAR HYPERPLASIA AND EDEMA.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
			</pre>

			===Micro===
			The sections show rectal mucosa, submucosa and a small amount of muscularis propria. The mucosa shows fibromuscular hyperplasia with thickening of the muscularis mucosae and mild lamina propria fibrosis. The submucosa is edematous. The small amount of muscularis propria is unremarkable. The epithelium matures normally to the surface. No significant nuclear atypia is identified.

			==See also==
			*[[Rectum]].

			==References==
			{{Reflist\|2}}

			[[Category:Gastrointestinal pathology]]
	[[Category:Diagnosis]]		[[Category:Diagnosis]]

Michael: +cat.

2011-10-22T23:43:00Z

+cat.

← Older revision		Revision as of 23:43, 22 October 2011
Line 1:		Line 1:
	#redirect [[Colon#Rectal prolapse]]		#redirect [[Colon#Rectal prolapse]]

			[[Category:Diagnosis]]

← Older revision		Revision as of 15:20, 16 May 2016
Line 103:		Line 103:
	*[[Rectum]].		*[[Rectum]].
	*[[Solitary rectal ulcer]].		*[[Solitary rectal ulcer]].
			*[[Prolapse]].

	==References==		==References==