. Diseases of the rectum and anus: designed for students and practitioners of medicine. uddenly after a strain as the resultof detachment of the mucous membrane from its bed, whichpermits it to slide down and out at the anus (Figs. 122 and 123). The protrusion is usually small, being about one or twoinches ( or centimeters) in length, highly colored, andreturns either spontaneously or by the aid of slight the exciting cause is removed, repeated protrusions, 25 386 DISEASES OF THE RECTUM AND ANUS becoming more extensive as the child grows older, are to beexpected. Prola
. Diseases of the rectum and anus: designed for students and practitioners of medicine. uddenly after a strain as the resultof detachment of the mucous membrane from its bed, whichpermits it to slide down and out at the anus (Figs. 122 and 123). The protrusion is usually small, being about one or twoinches ( or centimeters) in length, highly colored, andreturns either spontaneously or by the aid of slight the exciting cause is removed, repeated protrusions, 25 386 DISEASES OF THE RECTUM AND ANUS becoming more extensive as the child grows older, are to beexpected. Prolapse of All the Rectal Coats (Complete Procidentia) Protrusion of all the rectal coats (Figs. 124, 125, and 126),alone or in conjunction, occurs less frequently than the pre-ceding variety, and may be the result of an antecedent partialprolapse which has existed for a number of years. It is seenmost frequently in persons past middle life and in those suffer-ing from paralysis, fecal impaction, vesic calculi, urethral strict-ure, enlarged prostate, hemorrhoids, or polyps. Women suffer. Fig. 125.—Typic Case of Extensive Complete Procidentia Recti in Boy ThreeYears Old (same as Pig. 124; Different Position). from it more than men, because of uterine procidentia and thedownward dragging of the bowel by the head of the childduring labor. The protruded mass is much larger than in the varietypreviously described, measuring from three to six inches ( centimeters) or more in length (see Dr. Ladinskiscase, Plate XX and Fig. 126) and from two to three inches( to centimeters) across the base. The mucous mem-brane and other coats convey to the touch a sensation of thick-ness and firmness not elicited in protrusion of the membrane PKOLAPSE 387 alone, and it may assume enormous proportions, including theupper rectum, sigmoid, and a large part of the colon, to saynothing of the peritoneum and loops of the small intestine. Prolapse of the Colon, Sigmoid, or Upper Rectum in
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
