Transanal evisceration of small intestines due to chronic rectal prolapse: Still an intriguing case.

Ulus Travma Acil Cerrahi Derg

Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul-Türkiye.

Published: October 2024

AI Article Synopsis

  • - A rare case of evisceration of the small intestine through the rectum occurred in an 83-year-old woman with chronic rectal prolapse who refused surgery.
  • - After a month of declining surgery, she presented with the evisceration, leading to a laparotomy and Hartmann's procedure, with no need for small bowel resection.
  • - Despite appropriate treatment, the patient did not survive, highlighting the importance of elective rectal prolapse repair to prevent such serious complications.

Article Abstract

Evisceration of the small intestine from a perforated rectum is a rare condition, particularly seen in elderly women. We present a case involving an 83-year-old woman with a history of chronic rectal prolapse and no other comorbidities. The patient declined surgical intervention for her rectal prolapse, and one month later, she presented with evisceration of the small intestine from the anus. The intervention was a laparotomy followed by Hartmann's procedure, which is the most recommended procedure. No small bowel resection was necessary. Although the management of this case was adequate and timely, the patient did not survive. This case underscores that elective repair of rectal prolapse might prevent this very rare but potentially fatal complication of transanal small intestinal evisceration.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622704PMC
http://dx.doi.org/10.14744/tjtes.2024.87273DOI Listing

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