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Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series

Year: 2025

Type: article

Abstract: Levator ani syndrome (LAS) explains up to 7.4% of anorectal pain cases. Classic symptoms include rectal pain or pressure with sitting. We present 2 patients, ages 32 and 25 years, presenting initially with "diarrhea" and perianal hyperhidrosis. History revealed rectal discomfort, tenesmus, urgency, and sensation of incomplete evacuation. Puborectalis tenderness was present on digital rectal examination. Therapies were tailored to each patient, including pelvic floor physical therapy with biofeedback, bowel regulation, rectal diazepam, and ileostomy. These presentations offer insights into potential pathophysiological mechanisms in LAS and highlight the importance of considering LAS in non-pain presentations.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001826

Authors: Riya Gupta, Kara J. Jencks, John A. Damianos, Xiao Jing (Iris) Wang

Institution: Mayo Clinic

Language: English

Topic: Pelvic floor disorders treatments

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414123221

FWCI:

Cites: 17

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Related to: 10