Acute transanal ileal evisceration

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.