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BMJ Case Rep. 2013 Sep 6;2013. pii: bcr2013010411. doi: 10.1136/bcr-2013-010411.

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

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  • 1Department of General Surgery, King George's Medical University Lucknow, Uttar Pradesh, India.

Abstract

Evisceration 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.

PMID:
24014329
[PubMed - indexed for MEDLINE]
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