Surgical rectopexy following persistent rectal prolapse in a premature neonate
Bibliographic record
Abstract
Introduction: Rectal prolapse is a rare but recognized condition in preterm infants, characterized by partial- or full-thickness protrusion of the rectal wall through the anus. While most cases resolve spontaneously with conservative management, prolapse that is persistent or complicated may necessitate surgical intervention. Case Presentation: We present the case of a 25-week gestation female infant who was maintained on non-invasive ventilation and developed persistent rectal prolapse at two months of age during her stay in a tertiary care neonatal intensive care unit (NICU). The infant was initially managed conservatively; management included protective dressings and manual reduction. However, the prolapse progressed in length, with full-thickness protrusion and mucosal changes. The infant was then transferred to a paediatric surgical centre. The prolapse was recurring immediately after manual reduction, with the rectal wall becoming increasingly edematous, leading to significant discomfort. She underwent successful surgical rectopexy. The neonate recovered well post-operatively, tolerated enteral feeds, and was discharged home. At follow-up, she continued to feed and stool normally, with no recurrence of the rectal prolapse. Conclusion: This case highlights the multifactorial etiology of rectal prolapse in preterm infants, including immature pelvic musculature and increased intra-abdominal pressure from chronic respiratory support. While conservative measures remain the mainstay of treatment, surgical management should be considered for refractory cases or if complications arise. The prognosis remains excellent in most cases, with complete resolution of the prolapse as the infant matures. This report adds to the limited literature on the surgical management of neonatal rectal prolapse.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".