Rectal prolapse - Revision history

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2018-11-29T20:01:19Z

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

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2016-05-16T15:20:58Z

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2014-12-16T07:10:47Z

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	{{ 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]].

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2014-01-17T17:03:25Z

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← Older revision		Revision as of 17:03, 17 January 2014
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	- 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.
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			<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>

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2013-12-31T17:30:59Z

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 </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.
 ==See also==

Michael at 17:18, 31 December 2013

2013-12-31T17:18:26Z

← Older revision		Revision as of 17:18, 31 December 2013
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	\| 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

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	Notes:		Notes:
	*'''Important negative''': no nuclear atypia.		*'''Important negative''': no nuclear atypia.
			**May be seen if ischemic changes are present.

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

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2013-12-31T17:16:17Z

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 '''Rectal prolapse''' is a benign pathology of the [[rectum]], typically seen in women that are multiparous and postmenopausal.
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 **Muscularis mucosae is "too superficial" (muscle in the lamina propria).
 *Surface ulceration + inflammation ([[neutrophil]]s).
 *+/-Serration of epithelium at the surface.
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 ==See also==
 *[[Rectum]].
 ==References==

Michael: split out

2013-12-31T17:10:19Z

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	~~#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>

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			<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

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	#redirect [[Colon#Rectal prolapse]]		#redirect [[Colon#Rectal prolapse]]

			[[Category:Diagnosis]]

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

	==References==		==References==