weekly_question 19/6/2022

[Admin]

A 2 year-old boy has had partial-thickness rectal prolapse for 6 months. His parents need to reduce it every other week. He passes a hard stool every 2 to 3 days. There is no history of greasy stools or failure to thrive. The most appropriate next step is:

A Laxative therapy

B Pelvic floor therapy

C Laparoscopic rectopexy

D Sweat chloride test

E Sclerotherapy

[Admin]

correct answer
A Laxative therapy

This is a young child with constipation who has an uncomplicated, partial-thickness prolapse involving rectal mucosa only. Rectal prolapse generally resolves with the management of constipation, which is the most frequent cause in young children. Pelvic floor therapy is not feasible in an uncooperative toddler. Screening for cystic fibrosis with a sweat chloride is unlikely to be fruitful in the absence of voluminous stools or other manifestations of this disease. Sclerotherapy can be considered in patients who fail medical therapy or experience complications, such as bleeding. Laparoscopic rectopexy is generally reserved for full-thickness rectal prolapse in older children.

[magdiloulah]

A

[Admin]

correct answer
A Laxative therapy

This is a young child with constipation who has an uncomplicated, partial-thickness prolapse involving rectal mucosa only. Rectal prolapse generally resolves with the management of constipation, which is the most frequent cause in young children. Pelvic floor therapy is not feasible in an uncooperative toddler. Screening for cystic fibrosis with a sweat chloride is unlikely to be fruitful in the absence of voluminous stools or other manifestations of this disease. Sclerotherapy can be considered in patients who fail medical therapy or experience complications, such as bleeding. Laparoscopic rectopexy is generally reserved for full-thickness rectal prolapse in older children.