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Article
May 1948

PROLAPSE OF THE RECTUMReport of a Case

Author Affiliations

KANSAS CITY, MO.

Arch Surg. 1948;56(5):642-650. doi:10.1001/archsurg.1948.01240010652009
Abstract

THIS paper is concerned primarily with the presentation of an unusual case of rectal prolapse. Although this subject has been adequately discussed by members of the Western Surgical Association and ample reference to it is found in the literature, it does not seem amiss to make some remarks concerning the causative factors relative to the development of rectal herniation and to comment briefly on the procedures employed to correct this condition. A rectal prolapse, or procidentia of the rectum, may be classified as mucosal or complete.

The mucosal type is an evulsion of the mucous membrance of the rectum and does not involve a descensus of the entire rectum. The mucous membrane that protrudes is smooth and represents simple evagination. It is commoner in older person with relaxed sphincters, who have had long-standing hemorrhoids.

True prolapse of the rectum, or herniation of the rectum, is a descensus of the entire

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