Which conditions are included in the differential diagnoses of pediatric rectal prolapse?

Updated: Nov 12, 2018
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Other differential diagnoses include the following:

  • Prolapsing rectal polyp - Appears with defecation and reduces spontaneously; the lesion does not involve the entire circumference; patients with recurring rectal prolapse with no apparent cause or history of rectal bleeding should undergo proctosigmoidoscopy to rule out polyps

  • Ileocecal intussusception - Differential diagnosis should be clear based on history and physical examination findings

  • Submucosal venous congestion secondary to straining - May manifest as an intermittently appearing anal lesion and might be confused with rectal prolapse

  • Hemorrhoids - Seldom seen in pediatric patients except in the setting of portal hypertension

  • Rectal tumors – Uncommon in children

Rare sequelae of rectal prolapse include solitary rectal ulcer syndrome [29] and inflammatory cloacogenic polyp. Both are due to ischemia and quite rare in children.

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