A Case of Concealed Prolapse Diagnosed by Dynamic Defecography

Michihiko Miyazaki, Joji Kuromizu, Toshimitsu Toyohara, Hiroshi Takeo, Noritaka Minagawa and Masahiro Takano

Department of Surgery, Fukuoka Takano Hospital

It is difficult to diagnose concealed prolapse which is often misdiagnosed as constipation. We diagnose a case concealed prolapse by dynamic defecography. A 53-year-old womanwas admitted reporting constipation with abdominal pain, abdominal distension and a sense of retention after defecation. She had reported these symptoms 5 times in 10 years without proper diagnosis. Dynamic defecography showed intussusception of the rectum diagnosed as concealed prolapse. She underwent laparoscopic rectopexy and had a good course. She is alive and recurrence-free 2 years after surgery.

Key words
concealed plorapse, rectopexy, dynamic defecography

Reprint requests
Michihiko Miyazaki Department of Surgery, Fukuoka Takano Hospital 2-24-36 Shimobaru, Higashi-ku, Fukuoka-shi, 813-0002 JAPAN

Accepted
April 25, 2001

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