title: Rectal prolapse after oral cathartics.
abstract: Complete rectal prolapse or procidentia is an uncommon condition long recognized but of uncertain pathogenesis. We report two patients, seen a decade apart, both of whom developed complete rectal prolapse after ingestion of oral cathartics in preparation for diagnostic studies. To our knowledge, cathartic-induced complete rectal prolapse has not been reported previously in the current medical literature, despite the thousands of bowel preparations performed annually. These two cases address the implications of such an occurrence, and we discuss the pertinent management issues.
authors.affiliation: Division of Digestive Diseases, New York Hospital-Cornell Medical Center, NY 10021-4885.
authors.forename: A M
authors.initials: AM
authors.lastname: Korkis
authors.forename: P F
authors.initials: PF
authors.lastname: Miskovitz
authors.forename: R W
authors.initials: RW
authors.lastname: Yurt
authors.forename: H
authors.initials: H
authors.lastname: Klein
mesh_terms: D000368:Aged; D002400:Cathartics / Q000009:adverse effects*; D002951:Citrates / Q000009:adverse effects; D019343:Citric Acid; D003113:Colonoscopy; D004573:Electrolytes / Q000009:adverse effects; D005260:Female; D006801:Humans; D011092:Polyethylene Glycols / Q000009:adverse effects; D012005:Rectal Prolapse / Q000139:chemically induced*; D012996:Solutions; D014567:Urography
chemical_list: D002400:Cathartics; D002951:Citrates; D004573:Electrolytes; C033608:Golytely; D012996:Solutions; D019343:Citric Acid; D011092:Polyethylene Glycols