Vetdle Archive
Archive Case #239: Swine Rectal Prolapse
Pig veterinary case - Easy - October 28, 2026
Clinical Clues
- A growing pig is examined after keepers notice a red tubular mass protruding from its anus.
- The exposed tissue is moist and swollen, and the pig strains intermittently.
- Several pen mates have been coughing, but no specific cause of this pig's straining has been established.
- The mass emerges through the anal opening and has a continuous ring of rectal mucosa at its base.
- A lubricated blunt probe cannot pass deeply between the protruding tissue and the inner rectal wall, arguing against a prolapsed intussusception.
- The anatomical finding is swine rectal prolapse; coughing or bowel disease may be contributors but are not proven here.
Diagnosis
Swine Rectal Prolapse
The circumferential continuity of rectal tissue with the anal margin and absence of a deep plane beside the mass support swine rectal prolapse. A protruding ileocolic intussusception can look similar but permits a probe to pass between the mass and rectal wall. Coughing and tenesmus are possible contributors, not established causes in this pig. Remember: A red mass at a pig's anus needs an anatomical check; distinguish rectal prolapse from an intussusception before investigating why straining occurred.
Learning review
Review the case evidence
Use the paired clues to explain how the evidence in this pig case supports the provided diagnosis, Swine Rectal Prolapse, then compare your reasoning with the case explanation.
Evidence checkpoints
Clues 1-2
- Clue 1: A growing pig is examined after keepers notice a red tubular mass protruding from its anus.
- Clue 2: The exposed tissue is moist and swollen, and the pig strains intermittently.
Clues 3-4
- Clue 3: Several pen mates have been coughing, but no specific cause of this pig's straining has been established.
- Clue 4: The mass emerges through the anal opening and has a continuous ring of rectal mucosa at its base.
Clues 5-6
- Clue 5: A lubricated blunt probe cannot pass deeply between the protruding tissue and the inner rectal wall, arguing against a prolapsed intussusception.
- Clue 6: The anatomical finding is swine rectal prolapse; coughing or bowel disease may be contributors but are not proven here.
Self-review prompts
- After clues 1-2, what evidence from this pig case shaped your initial interpretation?
- When you compare clues 3-4 with clues 1-2, what changed in your reasoning about Swine Rectal Prolapse?
- How do clues 5-6 align with the case explanation for Swine Rectal Prolapse?
Educational Use
Vetdle archive cases are educational veterinary games for diagnostic reasoning practice. They do not provide veterinary advice, diagnosis, treatment, or professional medical guidance.