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Mucosal Prolapse Syndrome in Children: A Clinicopathological Analysis of Young Patients Hideki Kitatani 1 , Teruho Kajimoto 1 , Kunio Konuma 1 , Kiyoshi Nanbu 1 , Fumio Konishi 2 1Department of Pediatric Surgery, Kanazawa Medical University 2The First Department of Pathology, Kanazawa Medical University Keyword: 直腸の粘膜脱症候群 , 直腸脱 , 直腸の孤立性潰瘍症候群 , いきみ pp.1312-1318
Published Date 1990/11/25
DOI https://doi.org/10.11477/mf.1403111544
  • Abstract
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 A clinicopathological analysis was carried out to determine the significance of mucosal prolapse syndrome in children by collecting 42 reported cases aged less than 19 years, including 2 cases which we encountered ourselves. The youngest patient was 7 years old and the largest number of patients was diagnosed at the age of 15 years. Thirty one patients were male and 11 were female. Rectal bleeding was the major symptom found in 91% of the patients. It was followed by mucus discharge (31%). Straining was revealed in most of the patients (85%), but rectal mucosal prolapse was proved in only 5 out of 16 patients. Eighty five percent of the patients had polypoid lesions, and only 15% had pure ulcerated lesions. The most common site of the lesion is the anterior wall (40%). It is followed by circumferential (27%), anterolateral (18%), lateral, and posterior wall. Most of the polypoid lesions were resected but simple resection without consideration of the pathogenesis of this condition does not guarantee a permanent cure. Prohibition of straining combined with resection of the polypoid lesion and rectopexy is thought to be the best therapy to recommend.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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