Traumatic evisceration after blunt trauma in 20-month-old boy

Komarowska, Marta; Matuszczak, Ewa; Dębek, Wojciech; Hermanowicz, Adam

doi:10.5505/tjtes.2017.37807

Cited by 2 publications

(2 citation statements)

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“…[7][8][9][10][11][12][13][14] The age groups ranged from infancy to the more common elderly population. 9,10 The cause for the evisceration may be secondary to increased abdominal pressure, impalement-type rectal injuries, and external suction injuries. 11 These causes can precipitate evisceration through the rectum in people with the healthy rectum or associated pathologies like rectal prolapse, rectal ulcers, carcinomas, diverticular disease, or colitis.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous evisceration of small bowel through the rectum in the background of rectal prolapse

Basnayake

Jayarajah

Wijerathne³

2021

SAGE Open Medical Case Reports

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Small bowel evisceration secondary to rectal prolapse is an uncommon complication with significant morbidity and mortality if left untreated. We report a rare case of the spontaneous evisceration of the small bowel through the rectum in the background of rectal prolapse. A 73-year-old female presented to the emergency treatment unit with sudden worsening of her rectal procidentia (rectal prolapse) and pain for 3 h precipitated by straining at defecation. She had a history of complete rectal prolapse for 4 years and three uncomplicated vaginal deliveries. On examination, she was found to have evisceration of the small bowel through the anus without any evidence of strangulation. Emergency laparotomy was performed and small bowel was reduced into the abdomen with ease. She was found to have a linear tear on the anterior wall of the rectum. Primary repair of the rectal defect was carried out and a proximal defunctioning ileostomy was created. Histology was unremarkable and the recovery was uneventful. Old age, history of previous vaginal deliveries, and long-standing rectal prolapse were probable risk factors in this patient. Delay in treating this condition may result in significant morbidity and even mortality. Therefore, timely intervention is necessary.

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Section: Discussionmentioning

confidence: 99%

“…Reported cases in the literature described a wide variety of causes. [7][8][9][10][11][12][13][14] The age groups ranged from infancy to the more common elderly population. 9,10 The cause for the evisceration may be secondary to increased abdominal pressure, impalement-type rectal injuries, and external suction injuries.…”

Section: Discussionmentioning

confidence: 99%