[Rectal prolapse revealing a tumor: The role of abdominal ultrasound].
Rectal prolapse is rare in children and usually benign. However, there are various diseases that can be associated with it, such as cystic fibrosis or other causes of increased abdominal pressure. Here, we review the various underlying conditions that pediatricians or pediatric gastroenterologists should consider in the case of rectal prolapse. We report on three cases of children with a rectal prolapse and intra-abdominal tumors. Current recommendations and practice do not include a systematic check via abdominal imaging in cases of rectal prolapse. However, in some situations, imaging is indicated to detect a possible expansive process. Thus, in the presence of recurrent prolapse or of associated urinary or neurological signs, imaging is justified so as to allow for an early diagnosis and treatment of these neoplasms. Given its lack of radiation exposure and good sensitivity in children, ultrasound imaging is the first choice.
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique; Service universitaire de pédiatrie, CHU de Liège, avenue de l'Hôpital, 1, 4000 Liège, Belgique. Electronic address: be_emeline@msn.com.
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E
Bequet
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique.
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Stiennon
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique.
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A
Lhomme
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique.
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Piette
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique.
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Hoyoux
Service d'imagerie médicale, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège Belgique.
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Rausin
Service universitaire de pédiatrie, CHR de la Citadelle, boulevard du Douzième-de-Ligne 1, 4000 Liège, Belgique.
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Guidi
D000008:Abdominal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009447:Neuroblastoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D012005:Rectal Prolapse / Q000209:etiology*; D012208:Rhabdomyosarcoma / Q000000981:diagnostic imaging / Q000473:pathology; D018233:Rhabdomyosarcoma, Embryonal / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology