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This infolding is perhaps best visualised as folding a sock inside out,[6] creating "a tube within a tube".[11] Another definition is "where the rectum collapses but does not exit the anus".[12] Many sources differentiate between internal rectal intussusception and mucosal prolapse, implying that the former is a full thickness prolapse of rectal wall. However, a publication by the American society of colon and rectal surgeons stated that internal rectal intussusception involved the mucosal and submucosal layers separating from the underlying muscularis mucosa layer attachments, resulting in the separated portion of rectal lining “sliding” down.[4] This may signify that authors use the terms internal rectal prolapse and internal mucosal prolapse to describe the same phenomena.

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