• Nur Ramoglu, Ismail Ahmet Bilgin, Volkan Ozben, Bilgi Baca, Ismail Hamzaoglu, and Tayfun Karahasanoglu.
• Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul-Türkiye.
• Ulus Travma Acil Cerrahi Derg. 2024 Oct 1; 30 (10): 768770768-770.

AbstractEvisceration 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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