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Stubborn rectal prolapse in systemic sclerosis
Systemic sclerosis (SSc) is an autoimmune connective tissue disorder. Anorectal involvement might typically cause fecal incontinence and rarely rectal prolapse. Here we report three female patients, who were admitted with a mean history of 10 years suffering from SSc. All patients presented with the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442302/ https://www.ncbi.nlm.nih.gov/pubmed/28539683 http://dx.doi.org/10.5114/reum.2017.67606 |
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author | Petersen, Sven Tobisch, Alexander Puhl, Gero Kötter, Ina Wollina, Uwe |
author_facet | Petersen, Sven Tobisch, Alexander Puhl, Gero Kötter, Ina Wollina, Uwe |
author_sort | Petersen, Sven |
collection | PubMed |
description | Systemic sclerosis (SSc) is an autoimmune connective tissue disorder. Anorectal involvement might typically cause fecal incontinence and rarely rectal prolapse. Here we report three female patients, who were admitted with a mean history of 10 years suffering from SSc. All patients presented with the initial symptom of anal incontinence, in all cases this was associated with rectal intussusception or rectal prolapse. The three women faced prolapse recurrence, independent of the initial procedure. After surgical removal of the prolapse, the incontinence remained. In SSc rectal prolapse syndrome might occur at an earlier age, and a primary prolapse of the ventral aspect of the rectal wall seems to be typical for this disease. If patients with prior diagnosis of SSc appear with third degree of fecal incontinence, it is suspected to be associated with rectal prolapse. The prolapse recurrence rate after surgery in SSc patients is high. |
format | Online Article Text |
id | pubmed-5442302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie |
record_format | MEDLINE/PubMed |
spelling | pubmed-54423022017-05-24 Stubborn rectal prolapse in systemic sclerosis Petersen, Sven Tobisch, Alexander Puhl, Gero Kötter, Ina Wollina, Uwe Reumatologia Case Report Systemic sclerosis (SSc) is an autoimmune connective tissue disorder. Anorectal involvement might typically cause fecal incontinence and rarely rectal prolapse. Here we report three female patients, who were admitted with a mean history of 10 years suffering from SSc. All patients presented with the initial symptom of anal incontinence, in all cases this was associated with rectal intussusception or rectal prolapse. The three women faced prolapse recurrence, independent of the initial procedure. After surgical removal of the prolapse, the incontinence remained. In SSc rectal prolapse syndrome might occur at an earlier age, and a primary prolapse of the ventral aspect of the rectal wall seems to be typical for this disease. If patients with prior diagnosis of SSc appear with third degree of fecal incontinence, it is suspected to be associated with rectal prolapse. The prolapse recurrence rate after surgery in SSc patients is high. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2017-04-28 2017 /pmc/articles/PMC5442302/ /pubmed/28539683 http://dx.doi.org/10.5114/reum.2017.67606 Text en Copyright: © 2017 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Case Report Petersen, Sven Tobisch, Alexander Puhl, Gero Kötter, Ina Wollina, Uwe Stubborn rectal prolapse in systemic sclerosis |
title | Stubborn rectal prolapse in systemic sclerosis |
title_full | Stubborn rectal prolapse in systemic sclerosis |
title_fullStr | Stubborn rectal prolapse in systemic sclerosis |
title_full_unstemmed | Stubborn rectal prolapse in systemic sclerosis |
title_short | Stubborn rectal prolapse in systemic sclerosis |
title_sort | stubborn rectal prolapse in systemic sclerosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442302/ https://www.ncbi.nlm.nih.gov/pubmed/28539683 http://dx.doi.org/10.5114/reum.2017.67606 |
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