MyMedR

Ano-rectal conditions: A neglected field

Fallis LS

Malayan Medical Journal, 1937;12:111-3.

Matched MeSH terms: Rectal Diseases

Intestinal obstruction due to rectal endometriosis: a surgical enigma

Jarmin R, Idris MA, Shaharuddin S, Nadeson S, Rashid LM, Mustaffa WM

Asian J Surg, 2006 Jul;29(3):149-52.

Obstructed rectal endometriosis is an uncommon presentation. The clinical and intraoperative presentation may present as malignant obstruction. The difficulty in making the diagnosis may delay the definitive management of the patient. We report a unique case of rectal endometriosis mimicking malignant rectal mass causing intestinal obstruction and discuss the management of the case.

Matched MeSH terms: Rectal Diseases/complications*; Rectal Diseases/diagnosis; Rectal Diseases/surgery*

Duplication of the rectum: report of four cases and review of the literature

Rajah S, Ramanujam TM, Anas SR, Jayaram G, Baskaran P, Ganesan J, et al.

Pediatr Surg Int, 1998 Jul;13(5-6):373-6.

PMID: 9639621

Rectal duplications are rare anomalies. Recently, we observed four cases of rectal duplication, each presenting with different clinical features including chronic constipation, a prolapsing rectal "polyp, " a "growth" from the vulva, and acute retention of urine. The variety of clinical presentations may lead to delay in diagnosis and multiple operations.

Matched MeSH terms: Rectal Diseases/diagnosis; Rectal Diseases/etiology; Rectal Diseases/surgery

Multi-resistant Neisseria gonorrhoeae in Kuala Lumpur, Malaysia

Sam IC, Ngeow YF

Int J STD AIDS, 2006 Oct;17(10):710-1.

PMID: 17059643

Matched MeSH terms: Rectal Diseases/diagnosis*; Rectal Diseases/economics

Dieulafoy's lesion of the rectum

Gul YA, Jabbar MF, Karim FA, Moissinac K

Acta Chir. Belg., 2002 Jun;102(3):199-200.

PMID: 12136541

Dieulafoy's lesion is an uncommon cause of gastrointestinal haemorrhage. It may present with massive and life threatening bleed and although more common in the upper gastrointestinal tract, it is being increasingly reported as affecting the lower gastrointestinal tract. Diagnosis is usually achieved during proctoscopic and endoscopic visualization. In cases where there is profuse and torrential hemorrhage, angiography may help to confirm the diagnosis. There are a few treatment options available, all of which have a varying degree of success. More commonly than not, a combination of treatment is warranted as illustrated by our case. Recurrent bleeding may occur just as in cases of Dieulafoy's lesion affecting the upper gastrointestinal tract. Even though endoscopic visualization of the lower gastrointestinal tract in the presence of profuse lower gastrointestinal haemorrhage may not be possible, this important procedure should not be omitted as the bleeding source may be lying in a low and accessible location for prompt interventional haemorrhage control.

Matched MeSH terms: Rectal Diseases/complications*; Rectal Diseases/surgery

Total perineal reconstruction after major obstetrical injuries with extensive tissue loss: a report of 2 cases

Lee SH, Cheah DS, Poopalarachagan S, Sivanesaratnam V

Aust N Z J Obstet Gynaecol, 1991 Nov;31(4):372-5.

PMID: 1799358

Major perineal injuries following obstetrical complications represent difficult problems of reconstruction. We describe 2 such patients with perineal injuries simulating infantile cloacas. Surgical repair using an abdominoperineal pullthrough procedure in 1 patient, and a Bricker loop type of repair in another resulted in successful restoration of function in both. The operative details and basis for the reconstruction are described.

Matched MeSH terms: Rectal Diseases/etiology; Rectal Diseases/surgery*

Fulltext The yield for colorectal cancer and adenoma by indication at colonoscopy

Cheong KL, Roohi S, Jarmin R, Sagap I, Tong SHY, Qureshi A

Med J Malaysia, 2000 Dec;55(4):464-6.

PMID: 11221158

Colonoscopy is an integral part of the clinician armamentarium in the diagnosis of colorectal cancer and its precursor, the adenoma. Polypoid lesions when identified can be excised at colonoscopy and in turn reduce the risk of colorectal cancer. We prospectively evaluated the yield of colorectal cancer and adenomatous polyps by indication for colonoscopy over a one-year period. A total of 375 colonoscopies were carried out. The more common indications of colonoscopy were rectal bleeding, abdominal pain, surveillance of colorectal cancer and altered bowel habit. The highest yield for cancer was for rectal bleeding with 12.5% while surveillance of patients with a history of polyps yielded the highest percentage of new polyps. We conclude that rectal bleeding as an indication for colonoscopy yielded the highest number of cancers.

Matched MeSH terms: Rectal Diseases/pathology

Fulltext Outcome of core out fistulectomy and the ligation of anal fistula tract: A single center experience in Malaysia

C. Z. M Salehudin, Azmi Md Nor, Razman Mohd Rus

IIUM Medical Journal Malaysia, 2020;19(1):55-59.

MyJurnal

Fistula-in-ano is a benign anorectal disease which always poses a big dilemma to the surgeons
because of their significant recurrent rate following surgery. Materials and Methods: A cross-sectional study
involving 42 patients undergoing core out fistulectomy in the Hospital Tengku Ampuan Afzan, Kuantan,
Pahang, Malaysia were included in this study. Demographic data of patients were assessed. Endoanal
ultrasound (EAUS) was done prior to the surgery to determine types of fistula and classified using Park’s
classification. Follow up was made post-operatively at 4th week, 2nd month, 3rd month, 4th month, 5th month
and 6th month to look for the duration of healing or recurrence. Results: 5 out of 42 patients were lost to
follow up leaving 37 patients available for the analysis. Mean age of the patient was 38.4 (13.8) years old.
Transphincteric and intersphincteric type of fistula accounted for 54.5% and 40.1%, respectively. 62.2%
(n=23) of patients achieved primary healing after the procedure. The mean for healing duration was 3.7
(3.1) months. Recurrence of the disease was seen only in 37.8% (n=14) of the patients. Conclusions: Even
though we managed to achieve significant success rate cumulatively, recurrence of fistula still impose a
significant challenge toward patient’s management. Therefore, further prospective study with a bigger
sample size is recommended to look into this method to reduce recurrence of fistula.

Matched MeSH terms: Rectal Diseases

Digitation associated with defecation: what does it mean in urogynaecological patients?

Hai-Ying C, Guzmán Rojas R, Hall JC, Atan IK, Dietz HP

Int Urogynecol J, 2016 Feb;27(2):229-32.

PMID: 26264476 DOI: 10.1007/s00192-015-2813-7

INTRODUCTION AND HYPOTHESIS: Obstructed defecation is a common symptom complex in urogynaecological patients, and perineal, vaginal and/or anal digitation may required for defecation. Translabial ultrasound can be used to assess anorectal anatomy, similar to defecation proctography. The aim of the present study was to determine the association between different forms of digitation (vaginal, perineal and anal) and abnormal posterior compartment anatomy.

METHODS: A total of 271 patients were analysed in a retrospective study utilising archived ultrasound volume datasets. Symptoms of obstructed defecation (straining at stool, incomplete bowel emptying, perineal, vaginal and anal digitation) were ascertained on interview. Postprocessing of stored 3D/4D translabial ultrasound datasets obtained on maximal Valsalva was used to diagnose descent of the rectal ampulla, rectocoele, enterocoele and rectal intussusception at a later date, blinded to all clinical data.

RESULTS: Digitation was reported by 39 % of our population. The position of the rectal ampulla on Valsalva was associated with perineal (p = 0.02) and vaginal (p = 0.02) digitation. The presence of a true rectocoele was significantly associated with perineal (p = 0.04) and anal (p = 0.03) digitation. Rectocoele depth was associated with all three forms of digitation (P = 0.005-0.02). The bother of symptoms of obstructed defecation was strongly associated with digitation (all P

Matched MeSH terms: Rectal Diseases/complications*

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