• BMJ case reports · Sep 2013

    Case Reports

    Small bowel evisceration through the anus in rectal prolapse in an Indian male patient.

    • Sanjeev Kumar, Anand Mishra, Shefali Gautam, and Sandeep Tiwari.
    • Department of General Surgery, King George's Medical University Lucknow, Uttar Pradesh, India.
    • BMJ Case Rep. 2013 Sep 6; 2013.

    AbstractEvisceration of small intestine through anus is a rare presentation in emergency. We reported a case with long history of recurrent complete rectal prolapse presenting in emergency as small bowel protruding out through anal orifice. The small bowel herniated out from a spontaneous perforation in rectosigmoid. After resuscitation, emergency exploratory laparotomy was carried out and small bowel was reposited in the peritoneal cavity through the site of perforation by pulling and pushing maneuvere and the perforated segment of rectosigmoid was exteriorised as double barrel colostomy.

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