Spontaneous ileal evisceration through the anus due to rectosigmoid rupture

Evisceration of small bowel through spontaneous perforation of rectum: Case report and review of literature

INTRODUCTION

Small bowel evisceration through spontaneous perforation of the rectum is an extremely rare condition in which the small bowel herniates mostly through a defect in the anterior rectal wall.

CASE PRESENTATION

We present the case of a 25-year-old otherwise healthy lady who denied any history of rectal prolapse or trauma.

DISCUSSION

Small bowel evisceration through rectum is a rare surgical emergency with a mortality rate as high as 42.3%. Apart from trauma, chronic constipation, rectal prolapse, presence of a deep Douglas pouch and a sliding hernia formed by the cul-de-sac have also been described as etiological factors.

CONCLUSION

It is extremely difficult to find out the actual cause of "spontaneous" small bowel evisceration, especially in young adults.

Incarcerated rectal prolapse--rupture and ileal evisceration after failed reduction: report of a case

We report a case of incarcerated rectal prolapse that could not be reduced after using the previously described application of ordinary table sugar. Gentle pressure caused the prolapsed rectum to perforate, and the small bowel herniated through the tear. This is only the second case reported in the literature of an ileal herniation through a perforated rectum after an attempted reduction of an incarcerated prolapse. It is the only reported case occurring after sugar application and the 42nd case of ileal herniation through the rectum from all causes.

Acute transanal ileal evisceration

This is the 31st report of spontaneous transanal evisceration of small bowel. This case is unique because a rectal prolapse had been repaired previously and at the time of evisceration, there was no evidence of recurrence. Inherent or acquired weakness of the anterior rectal wall combined with a sudden increase in intra-abdominal pressure appears to precipitate this rare phenomenon. Attention to basic surgical tenets applies in the management of this condition.

Spontaneous rupture of the rectosigmoid with small-bowel evisceration through the anus. Report of a case and review of the literature

A patient with spontaneous rupture of the rectum and evisceration of small bowel through the anus is presented. To the authors' knowledge, this paper represents the third reported case of this type of spontaneous rectal rupture. A discussion of the pathogenesis and treatment of this rather unique complication is presented. It is suggested that rectal or rectosigmoid rupture be considered a rare complication of rectal prolapse.

Traumatic evisceration of intestinal loops through the anus

A case of traumatic evisceration of intestinal loops through the anus in a young child is presented. This unusual injury took place in a swimming pool and was brought about when a negative pressure applied to the child's perineum by the suction pump created a pressure differential of sufficient force to cause the injury. Surgical management of the case is discussed.

Spontaneous rupture of the distal colon with evisceration of small intestine through the anus: report of two cases and review of the literature

Two cases of evisceration of the small intestine through a spontaneous perforation of the distal large bowel are presented, and the literature is reviewed. The condition is associated with a sudden increase in intra-abdominal pressure and a past history of rectal prolapse. The etiology and management of this problem are discussed.