Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2023; 11(14): 3317-3322
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3317
Rectal prolapse in a 30-year-old bladder stone male patient: A case report
Hong-Xiang Ding, Jia-Guo Huang, Chao Feng, Sheng-Cheng Tai
Hong-Xiang Ding, Jia-Guo Huang, Sheng-Cheng Tai, Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou 310000, Zhejiang Province, China
Chao Feng, School of Medicine, Hangzhou Normal University, Hangzhou 310000, Zhejiang Province, China
Author contributions: Tai SC contributed to conceptualization, supervision, writing-review and editing; Ding HX contributed to investigation, writing-original draft; Huang JG contributed to investigation; Feng C contributed to case collection, and all authors have read and approved the final manuscript.
Supported by Bureau of Science and Technology in Xiaoshan District, Hangzhou, China, NO. 2020210.
Informed consent statement: Informed consent was obtained from the patients’ guardian for publication of this case report details.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Sheng-Cheng Tai, MM, Surgeon, Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, No. 728 North Yucai Road, Xiaoshan District, Hangzhou 311200, Zhejiang Province, China.
Received: February 4, 2023
Peer-review started: February 4, 2023
First decision: March 24, 2023
Revised: March 31, 2023
Accepted: April 12, 2023
Article in press: April 12, 2023
Published online: May 16, 2023

Rectal prolapse occurs most commonly in children and middle-aged and elderly women and is relatively rare in young men and is occasionally caused by bladder stones. Severe rectal prolapse, bilateral hydronephrosis, and renal insufficiency caused by bladder stones are rare in a 30-year-old man.


We report the case of a 30-year-old male patient with cerebral palsy who presented with a large bladder stone that resulted in severe rectal prolapse, bilateral hydronephrosis, and renal insufficiency. Following a definitive diagnosis, the bladder stone was successfully removed, and his kidney function returned to normal. We assessed the patient’s nutritional status and stone composition and concluded that the main cause was malnutrition.


Rectal prolapse is a rare clinical manifestation of bladder stones, particularly in young adults. Cerebral palsy patients are a vulnerable group in society because of their intellectual disabilities and communicative impairments. Accordingly, besides taking care of their daily diet, abnormal signs in their bodies should receive the doctors’ attention in a timely manner.

Keywords: Bladder stone, Rectal prolapse, Cerebral palsy, Malnutrition, Case report

Core Tip: Bladder stones are generally observed in elderly males and children but are rarely found in young adults. Similarly, rectal prolapse is extremely rare in young men. Clinically, the most common symptoms of bladder stones are urinary frequency, interrupted urine flow, typically terminal hematuria, dysuria, or suprapubic pain, which are worst at the end of urination. Rectal prolapse is a rare clinical manifestation of bladder stones. We report an unusual case of a young man with cerebral palsy who presented with rectal prolapse and finally confirmed a diagnosis of bladder stone. Patients with cerebral palsy are unable to accurately describe physical discomfort due to intellectual disability and communication disabilities. Therefore, the abnormal signs in their body should be given timely attention by doctors, and early diagnosis and provision of appropriate active treatment positively impact on the prognosis of patients.