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Review
. 2012 May 8:2012:bcr1220115316.
doi: 10.1136/bcr.12.2011.5316.

Small bowel evisceration through the anus--report of a case and review of literature

James Theo Berwin  1 , T K Ho, Rovan D'Souza
Affiliations
Review

Small bowel evisceration through the anus--report of a case and review of literature

James Theo Berwin et al. BMJ Case Rep. .

Abstract

An 84-year-old lady with a history of chronic recurrent rectal prolapse, presented to accident and emergency with a significant portion of small bowel and mesentery protruding out of her anus. The small bowel was not contained within peritoneum, nor was this a pararectal herniation. On examination of the rectum, a longitudinal tear was found in the anterior rectal wall, through which the small bowel had prolapsed. Hours after reducing the small bowel back into the anus, it prolapsed a second time. Due to multiple co-morbidities, this patient was not fit for surgery. The defect was temporarily repaired on the ward and the patient treated with aggressive antibiotic therapy. The patient continued to deteriorate, became septic, acidotic, hypotensive and died a day later.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Clinical photograph at initial presentation.
Figure 2
Figure 2
A clinical photograph taken later that day, just before temporary repair of the defect in the anterior rectal wall. The tear in the anterior rectal wall is clearly seen. The small bowel has already been re-positioned back through the defect.
See this image and copyright information in PMC

References

    1. Morris AM, Setty SP, Standage BA, et al. Acute transanal evisceration of the small bowel: report of a case and review of the literature. Dis Colon Rectum 2003;46:1280–3 - PubMed
    1. Jeong J, Park JS, Byun CG, et al. Rupture of the rectosigmoid colon with evisceration of the small bowel through the anus. Yonsei Med J 2000;41:289–92 - PubMed
    1. Wrobleski DE, Dailey TH. Spontaneous rupture of the distal colon with evisceration of small intestine through the anus: report of two cases and review of the literature. Dis Colon Rectum 1979;22:569–72 - PubMed
    1. Czerniak A, Avigad I, Vermesh M, et al. Spontaneous rupture of the rectosigmoid with small-bowel evisceration through the anus. Report of a case and review of the literature. Dis Colon Rectum 1983;26:821–2 - PubMed
    1. Antony MT, Memon MA. Successful laparoscopic repair of spontaneous rectosigmoid rupture with an acute transanal small bowel evisceration. Surg Laparosc Endosc Percutan Tech 2005;15:172–3 - PubMed