🩺 Section 392.5: Rectal Mucosal Prolapse

Nelson Textbook of Pediatrics 22nd Edition — Rectal mucosal prolapse is common in toddlers (peak 1-3 years). Presents as a red, rosette-shaped protrusion after defecation. Associated conditions: constipation, cystic fibrosis (10-15%), malnutrition, Ehlers-Danlos syndrome, chronic diarrhea. Treatment: treat constipation, manual reduction, stool softeners. Sclerotherapy or surgical repair for persistent cases.

🌐 paeds.online — Pakistan's Pediatric Platform

📋 30 Clinical Scenarios — Rectal Mucosal Prolapse

📇 High‑Yield Review Cards (Rectal Mucosal Prolapse)

🩺 Clinical Presentations: Rectal Mucosal Prolapse

Select a presentation for diagnostic clues and management.

📋 Stepwise Evaluation & Management of Rectal Mucosal Prolapse

🔑 Key Principles — Rectal Mucosal Prolapse (Nelson 392.5)
• Definition: Protrusion of rectal mucosa through the anus (not full-thickness rectal wall).
• Peak age: 1-3 years (toddlers).
• Appearance: Red, rosette-shaped or concentric rings of mucosa (contrast with full-thickness prolapse).
• Associated conditions: Chronic constipation (most common), cystic fibrosis (10-15% of prolapse cases), malnutrition, chronic diarrhea, Ehlers-Danlos syndrome, tethered cord, pelvic floor weakness.
• Treatment: Treat constipation (stool softeners), manual reduction (gentle pressure, warm compress). Sclerotherapy (5% morrhuate sodium) for persistent cases. Surgical repair (Thiersch, Delorme, rectopexy) for severe refractory.

    ⚡ Reflex Prompts — Rectal Mucosal Prolapse

    📖 Rectal Mucosal Prolapse — Core Summary (Nelson 392.5)