Transanal evisceration of the small bowel a rare complication of rectal prolapse
| Autor: | Evripides Yettimis, Marinos C. Makris, Michael Kornaropoulos, Andreas Zevlas |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Rectal prolapse
medicine.medical_specialty business.industry medicine.medical_treatment General surgery Case Report 030230 surgery medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Evisceration Rectal Perforation 030220 oncology & carcinogenesis medicine Rectal perforation Surgical emergency Complication business Evisceration (ophthalmology) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2015.11.018 |
| Popis: | Highlights • A 78-year-old female with history of chronic rectal prolapse who presented in our emergency department with evisceration of small intestinal loops through the anus. • In surgery after complete reduction of the eviscerated bowel into the peritoneal cavity, almost 20 cm of the terminal ileum up to the ileocecal valve were necrotic and therefore a right hemicolectomy with primary anastomosis was performed. • Additionally a 2 cm craniocaudally tear was revealed in the antimesenteric border of the upper rectum and a Hartman procedure was also performed. • The patient was discharged after 10 days. Introduction Transanal evisceration of small bowel is an extremely rare surgical emergency. Of the nearly 70 cases reported in the literature, rectal prolapse is the predisposing factor that has been most frequently related to this pathology. Presentation of case We report a 78-year-old female with history of chronic rectal prolapse who presented in our emergency department with evisceration of small intestinal loops through the anus. In surgery after complete reduction of the eviscerated bowel into the peritoneal cavity, almost 20 cm of the terminal ileum up to the ileocecal valve were necrotic and therefore a right hemicolectomy with primary anastomosis was performed. Additionally a 2 cm craniocaudally tear was revealed in the antimesenteric border of the upper rectum and a Hartman procedure was also performed. The patient was discharged after 10 days. Discussion Early recognition and timely surgical intervention offers the best prognosis, avoiding a fatal conclusion or an extensive intestinal resection. |
| Databáze: | OpenAIRE |
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