Introduction: Small bowel evisceration through spontaneous perforation of the rectum is an extremely rare condition in which the small bowel herniates mostly through a defect in the anterior rectal wall.
Case Presentation: We present the case of a 25-year-old otherwise healthy lady who denied any history of rectal prolapse or trauma.
Discussion: Small bowel evisceration through rectum is a rare surgical emergency with a mortality rate as high as 42.