HighlightsSpontaneous entero-labial fistula complicating Richters hernia occurring in an adult female is rare in Africa.Spontaneous faecal fistula in inguinal region following rupture of strangulated Richter’s hernia especially in female adults is uncommon.It can occur even in absence of obstructive symptoms

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papillary apocrine changes) and strong family Background: Fibroadenomas are benign history of breast cancer. These women, despite breast tumours that are commonly diagnosed in having excised the fibroadenomas, stand a 4

Rectal prolapse is classified into complete or full thickness prolapse and incomplete or mucosal prolapse. Complete prolapse occurs in older adults while the latter occurs both in children and adults. This report is based on complete rectal prolapse, which is commoner in females and it is associated with weak pelvic and anal musculature. Rectal prolapse is an anatomical abnormality and requires surgical correction. CASE REPORTA 35-year-old woman, gravida 4, para 3+0, with 34 weeks gestation was referred to the surgical clinic for what was diagnosed as third degree haemorrhoids. She gave a three-month history of troublesome rectal bleeding and prolapsing anal mass at defecation. The mass was always reduced manually. Rectal examination revealed a patulous anal opening, and on bearing down, approximately 5cm of rectum prolapsed. It was immediately reduced and held in place with moist gauze pack. As a temporary measure, a Thiersh wiring was done with the aid of a local anaesthetic by infiltrating 1% lignocaine into the anal sphincter. She could not tolerate it and had to be taken down after two weeks.At 39 weeks gestation, she had spontaneous vaginal delivery of a normal baby with an embarrassing large prolapse of the rectum (8cm long). The prolapse was reduced as usual. Definitive repair of the prolapse was ABSTRACTRectal prolapse occurs when a mucosal or full thickness layer of rectal tissue slides through the anal orifice. It is relatively infrequent and occurs commonly in elderly women. This report is to bring to focus the possibility of a rectal prolapse being misdiagnosed as haemorrhoids in pregnancy. A case of a 35-year-old woman, gravida 4, para 3+0, found to have a large rectal prolapse but misdiagnosed as prolapsed haemorrhoids at 34 weeks gestation is reported. Although rectal prolapse is not a common condition during childbearing years, it is instructive for obstetricians and midwives to be vigilant in all cases of pregnant women presenting with rectal protrusion or bleeding.