Transanal Small Bowel Evisceration from Abdominal Crush Injury: Case Report and Review of the Literature

Transanal Small Bowel Evisceration: An Unusual Presentation of Rectal Impalement

“…In a review by Rechner & Cogbill, 66 cases of small bowel evisceration via the anus had been reported between 1827 and 2001 [3]. Of these 66 cases, 51 involved spontaneous small bowel evisceration caused mostly by sudden increase of intra-abdominal pressure (Valsalva-type pressure) including defecation, vomiting, lifting heavy objects and coughing.…”

“…In our systematic review, only 12 cases of traumatic transanal small intestine evisceration have been reported in medical literature since 1970 (Table 1) [3,[5][6][7][8][9][10][11]. Seven patients were children who have sat down on swimming pool drains [7,9,11], four patients were victims of blunt abdominal trauma [3,5,6,8], and one patient was an old lady who sustained a suction injury produced by a cruise ship toilet [10].…”

“…The mechanism of traumatic small bowel evisceration can be divided into two categories: suction injury and blunt abdominal trauma [3]. We herein report an unusual case, in which a small intestine evisceration was observed after a rectal impalement.…”

Strangulated Transanal Evisceration of Small Bowel Complicating Rectal Prolapse of the Child: An Observation of the University Hospital Center of Parakou, Benin

“…The aetiological circumstances are rather varied in the pediatric population. We thus find cases of abdominal trauma [5] [6], trauma by impaction [7] [8], aspiration accident on pool bung [4] [9]. Another etiology is sexual abuse in a girl child reported by Press S et al in 1991 [10].…”

Transanal evisceration of bowel loops due to blunt trauma

“…Ellul et al 1995 [5] 9 M Small bowel resection; Survived suture of rectal tear 5 Rechner and Cogbill, 2001 [6] 9 M Small bowel resection; Survived suture of rectal tear, colostomy Through this rent 30 cm of ileum and 15 cm of sigmoid colon had prolapsed and extruded through the anal opening. There was no injury to any other viscera.…”