Defaeco-peritoneography in the diagnosis of rectal intussusception and rectal prolapse.
OBJECTIVE
The aim of the present study was to evaluate the use of defaeco-peritoneography in diagnosing rectal intussusception as distinct from mucosal folds in the rectum, and rectal prolapse as distinct from mucosal prolapse.


METHODS
Fifty-seven patients with defaecation disorders were examined by means of defaeco-peritoneography.


RESULTS
Twenty-three patients had rectal intussusception and 7 patients had rectal prolapse at defaeco-peritoneography. All these patients had a rectal peritoneocele in the serosal ring-pocket of the rectal intussusception or in the rectal prolapse. Twenty-seven patients had neither rectal intussusception nor rectal prolapse and none of these patients had a rectal peritoneocele.


CONCLUSIONS
The present study demonstrated that only patients with a rectal intussusception or rectal prolapse have a rectal peritoneocele. Defaeco-peritoneography therefore offers correct diagnosis of rectal intussusception as distinct from mucosal folds in the rectum, and of rectal prolapse as distinct from mucosal prolapse.
Bremmer
S
S
Department of Diagnostic Radiology, Karolinska Institute at Danderyd Hospital, Stockholm, Sweden.
Udén
R
R
Mellgren
A
A
D001466:Barium Sulfate; D003287:Contrast Media; D003672:Defecation / Q000502:physiology; D003937:Diagnosis, Differential; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging*; D007472:Iohexol; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging*; D012005:Rectal Prolapse / Q000000981:diagnostic imaging*; D012007:Rectum / Q000000981:diagnostic imaging / Q000503:physiopathology
D003287:Contrast Media; D001466:Barium Sulfate; D007472:Iohexol