scholarly journals Difficult Defecation Caused by a Huge Rectal Leiomyoma

2022 ◽  
Vol 32 (1) ◽  
pp. 135-136
Keyword(s):  
Difficult Defecation

scholarly journals Rectal metastasis from bladder urothelial carcinoma: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuki Ii ◽  
Shinya Munakata ◽  
Kumpei Honjo ◽  
Masaya Kawai ◽  
Shingo Kawano ◽  
...  
Keyword(s):  
Urothelial Carcinoma ◽  
Tumor Resection ◽  
Disease Recurrence ◽  
Small Areas ◽  
Metastatic Urothelial Carcinoma ◽  
Rare Site ◽  
Difficult Defecation ◽  
Carcinoma Of The Bladder ◽  
Transitional Cells ◽  
Rectal Metastasis

Abstract Background Urothelial carcinoma arises from transitional cells in the urothelial tract. In advanced cases, it can metastasize locally to surrounding organs or distally to organs such as the lungs, bones, or liver. Here we describe a case of rectal metastasis from urothelial carcinoma treated with multiple sessions of transurethral resection of bladder tumor (TURBT). Case presentation A 72-year-old woman presented to our department with abdominal bloating andobstructed defecation. She had undergone two sessions of TURBT for early urothelial carcinoma in another hospital at 64 and 65 months ago, respectively. Cystoscopy at 3 months after the second TURBT session had indicated disease recurrence, and thus, she had been referred to our hospital for further examination, followed by TURBT for the third time at 59 months ago and for the fourth time at 48 months ago; thereafter, she had been followed up with cystoscopy every 6 months without any recurrence. However, she returned to our hospital, complaining of difficult defecation. Subsequent colonoscopy demonstrated an obstructive tumor in the rectum, which was pathologically diagnosed as metastatic urothelial carcinoma of the bladder. Laparoscopic examination revealed two small areas of peritoneal dissemination in the pelvis. A sigmoid colostomy was performed without rectal tumor resection. She has been receiving chemotherapy and is still alive 10 months after surgery. Conclusions Rectal metastasis is a rare site of metastasis for urothelial carcinomas. It is important to consider the possibility of annular rectal constriction caused by infiltrating or metastasizing urothelial carcinoma when managing patients with urothelial carcinoma and with difficult defecation.

scholarly journals Chronic Abdominal Pain and Difficult Defecation

2019 ◽  
Vol 157 (2) ◽  
pp. 306-308
Author(s):  
Xing Huang ◽  
Zhigang Xiao ◽  
Zhongcheng Huang
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Difficult Defecation

scholarly journals Laxative Effects of Yangyin Tongmi Capsule on a Model of Diphenoxylate-Induced Constipation in Mice

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shan Liu ◽  
Dayun Sui ◽  
Wenwen Fu ◽  
Xiaofeng Yu ◽  
Yuangeng Li ◽  
...  
Keyword(s):  
Low Dose ◽  
High Dose ◽  
Water Control ◽  
Intestinal Hormones ◽  
Expression Levels ◽  
Laxative Effects ◽  
Bowel Movements ◽  
Difficult Defecation ◽  
Underlying Mechanisms ◽  
Related Proteins

Constipation is characterized by reduced number of bowel movements, dry stools, and difficult defecation. Yangyin Tongmi capsule (YTC), a traditional Chinese formula, is used in the treatment of constipation, while the underlying mechanisms remain unknown. Herein, this work attempted to prove the effects of YTC on constipation treatment and its possible mechanisms. KM mice were randomly divided into four groups (n = 10/group) and treated with double distilled water (Control), diphenoxylate (Model: 10 mg/kg), or diphenoxylate plus low-dose YTC (L-YTC: 0.6 g/kg) or high-dose YTC (H-YTC: 1.2 g/kg). The data indicated that YTC can significantly shorten the discharge time of the first black stool, improve intestinal propulsion rate, and increase the water content and quantity of feces in mice. ELISA suggested that YTC regulate the content of intestinal hormones and neurotransmitters, such as motilin (MTL), gastrin (GT), somatostatin (SST), substance P (SP), acetylcholine (Ach), and nitric oxide (NO). The expression levels of aquaporin 3 (AQP3) and aquaporin 8 (AQP8) in the colon were examined by immunohistochemistry. In the meantime, the expression levels of P2X2, C-kit, and stem cell factor (SCF) in the colon were examined by western blot analysis. The results of this study suggest that YTC has mitigative effects on diphenoxylate-induced constipation by regulating the content of intestinal hormones and neurotransmitters and regulating the expression of related proteins in the colon.

Difficult defecation in constipated patients and its relationship to colonic disorders

2016 ◽  
Vol 31 (3) ◽  
pp. 685-691 ◽  
Author(s):  
Michel Bouchoucha ◽  
Ghislain Devroede ◽  
Cyriaque Bon ◽  
Florence Mary ◽  
Baktiar Bejou ◽  
...  
Keyword(s):  
Difficult Defecation

scholarly journals Pain and discomfort in violation of bowel movements in children – an actual problem

Pain medicine ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 29-35
Author(s):  
K Dmitrieva ◽  
V Vidiscak ◽  
A Prochotsky ◽  
K Furkova ◽  
E Kovacsova ◽  
...  
Keyword(s):  
Diagnostic Procedure ◽  
Functional Constipation ◽  
Warning Signs ◽  
Organic Basis ◽  
Actual Problem ◽  
Common Cause ◽  
Bowel Movements ◽  
Difficult Defecation ◽  
Correct Technique ◽  
Civilized World

Pain and discomfort during bowel movements in children are among the most common symptoms in the modern civilized world. The most common cause of these symptoms is chronic constipation, which is often treated by a pediatrician or pediatric gastroenterologist. In differen­tial diagnosis, it is very important to distinguish between chronic symptomatic constipation and functional (without an organic basis), which are most common in childhood. Organic causes of constipation are usually dealt with in cooperation with specialized specialists. The main patho­physiological mechanisms of functional constipation are stress, pain during emptying, and fear of further painful bowel movements. The clinical picture is dominated by in­frequent and difficult defecation of a large amount of hard stools. If the history, laboratory and other additional stud­ies indicate functional constipation, and there are no warn­ing signs of chronic symptomatic constipation, complex treatment can be started. Therapy includes psychological preparation of the patient and his family, working with the correct technique of defecation, dietary and regimen mea­sures, sufficient physical activity, the use of osmotic lax­atives. The presence of warning signs requires a rational differential diagnostic procedure, which varies depending on the age of the child.

Painful Defecation and Fecal Soiling in Children

PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1007-1009
Author(s):  
John C. Partin ◽  
Susan K. Hamill ◽  
Janet E. Fischel ◽  
Jacqueline S. Partin
Keyword(s):  
Fecal Impaction ◽  
School Age Children ◽  
School Age ◽  
Pediatric Gastroenterology ◽  
Older Children ◽  
Common Complaint ◽  
History Of ◽  
Difficult Defecation ◽  
Fecal Soiling ◽  
American Children

Fecal soiling is a common complaint among school-age children. The fecal soiling is often accompanied by chronic constipation and so-called "idiopathic," "functional," or "psychogenic" megacolon, the cause of which is undetermined. The records of all children presenting to a pediatric gastroenterology clinic between 1981 and 1990 with difficult defecation were reviewed to determine the incidence of painful defecation and its relationship to chronic impaction and fecal soiling. There were 227 children; 74 were younger than 36 months of age and 153 were older than 36 months. Of the younger children, 86% presented with pain, 71% with impaction, and 97% with severe withholding. The younger children had painful defecation for a mean of 14 ± 9 (SD) months before presentation. Of the older children, 85% presented with fecal soiling, 57% with pain, and 73% with fecal impaction, and 96% exhibited withholding the older children had difficult defecation for a mean of 56 ± 42 months before presentation. Sixty-three percent of the children presenting with fecal soiling had a history of painful defecation beginning before 36 months of age. Painful defecation frequently precedes chronic fecal impaction and fecal soiling in American children. Early, effective treatment of painful defecation in infancy might reduce the incidence of chronic fecal impaction and fecal soiling in school-age children.

Ewing’s sarcoma/primitive neuroectodermal tumor of the prostate a case report and literature review

2013 ◽  
Vol 7 (5-6) ◽  
Author(s):  
Tao Wu ◽  
Tao Jin ◽  
Deyi Luo ◽  
Lin Chen ◽  
Xiang Li
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Transrectal Ultrasound ◽  
Neuroectodermal Tumor ◽  
Resonance Imaging ◽  
Mri Scan ◽  
Difficult Defecation ◽  
Magnetic Resonance Imaging Mri ◽  
Multiagent Chemotherapy

We present a case of Ewing’s sarcoma (ES) and primitive neuroectodermal tumor (PNET) of prostate. A 29-year-old male presented with difficult defecation and anus distention and was found on magnetic resonance imaging (MRI) scan of the pelvis to have a prostate tumor. A transrectal ultrasound guided needle biopsy confirmed the diagnosis. The patient underwent cystoprostatectomy and replacement ileocystoplasty and was followed by multiagent chemotherapy. PNET/EWS of the prostate is an extremely rare neoplasm. And the prognosis is very poor, so we should pay enough attention to the differential diagnosis and treatment.

scholarly journals An Unusual Cause of Rectal Pressure and Difficult Defecation: Giant Pelvic Myelolipoma

2021 ◽  
Vol 31 (1) ◽  
pp. 76-79
Author(s):  
Burak Sarılar ◽  
Hüseyin Gökhan Yavaş ◽  
Furkan Ufuk
Keyword(s):  
Difficult Defecation ◽  
Rectal Pressure

scholarly journals Self-report of difficult defecation is associated with overactive bladder symptoms

2010 ◽  
Vol 29 (7) ◽  
pp. 1290-1294 ◽  
Author(s):  
Anne Cameron ◽  
Dee E. Fenner ◽  
John O.L. DeLancey ◽  
Daniel M. Morgan
Keyword(s):  
Overactive Bladder ◽  
Self Report ◽  
Overactive Bladder Symptoms ◽  
Bladder Symptoms ◽  
Difficult Defecation
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