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Lee HJ, Hendricks D, Rangaka T, Abd Elrahman A. Trans-anal small bowel evisceration in a patient with a perforated rectal prolapse. S AFR J SURG 2023; 61:42-43. [PMID: 37791714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
Abstract
SUMMARY An 85-year-old lady with a history of chronic constipation presented with gangrenous small bowel protruding from the anus through a hole in a prolapsed rectum. At surgery, a resection of 125 cm of gangrenous small bowel was performed in the perineum prior to laparotomy, where rectal repair was followed by the creation of a sigmoid loop colostomy and double-barrel ileostomy. This avoided an intrabdominal anastomosis which was felt likely to complicate due to the lady's intraoperative haemodynamic instability requiring inotropic support. This tailored management of a trans-anal small bowel evisceration through a rectal prolapse resulted in recovery and a patient who was content with her stomas and preferred to live with them rather than have continuity restored.
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Affiliation(s)
- H J Lee
- Department of General Surgery, Klerksdorp-Tshepong Hospital Complex, South Africa
| | - D Hendricks
- Department of General Surgery, Klerksdorp-Tshepong Hospital Complex, South Africa
| | - T Rangaka
- Department of General Surgery, Klerksdorp-Tshepong Hospital Complex, South Africa
- Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand
| | - A Abd Elrahman
- Department of General Surgery, Klerksdorp-Tshepong Hospital Complex, South Africa
- Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand
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Allers E, Botha UA, Betancourt OA, Chiliza B, Clark H, Dill J, Emsley R, Smith ME, Flisher AJ, Grobler C, Hawkridge SM, Hitzeroth V, Janse van Rensburg ABR, Jeenah FY, Jeeva SA, Jonsson G, Joska J, Joubert A, Kaliski S, Kleintjes S, Kramer L, Kakuma R, Lewis C, Lund C, Milligan P, Mkize DL, Moola NM, Nair M, Nichol RJ, Parker JS, Patel V, Rodseth DI, Pretorius PJ, Rangaka T, Rataemane S, Rogerson NP, Rosema D, Salduker MS, Scribante L, Singh D, Subramaney U, Talatala M, Temmingh HS, Thom R, Van der Westhuizen R, Van Heerden MS, Van Staden W, Van Vuuren H, Vasant U, Vythilingum B, Weich L, White D, Wynchank D. The 15th Biannual National Congress of the South African Society of Psychiatrists, 10-14 August 2008, Fancourt, George, W Cape. S Afr J Psychiatr 2008. [DOI: 10.4102/sajpsychiatry.v14i3.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
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