Case report: Sigmoid strangulation from evisceration through a perforated rectal prolapse ulcer - An unusual complication of rectal prolapse.

Introduction: Rectal prolapse occurs particularly in elder females and presentation can sometimes lead to complications such as strangulation and evisceration of other organs through the necrotic mucosa.

Presentation Of Case: This is a case of a 61 year-old female with rectal prolapse complicated by rectal perforation through which a segment of sigmoid colon eviscerated and became strangulated. This patient initially presented with sepsis requiring ICU admission, but fully recovered following a Hartmann's procedure with a sacral rectopexy.

Exploring the hidden curriculum: a qualitative analysis of clerks' reflections on professionalism in surgical clerkship.

Background: Professionalism is an important part of the hidden curriculum that is gaining attention in surgical education. McMaster University, Hamilton, Ontario, Canada, has introduced a small group discussion model using critical incident reports (CIRs) to elicit students' reflections on ethical, communication, and professionalism challenges during surgical clerkship. We described the themes identified by surgical clerks in their CIRs.