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Updated: Jul 6, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Small bowel evisceration through the rectum in childhood
Reena Ravikumar1, Andrew Robb, Girish Jawaheer
1Department of Paediatric Surgery, Birmingham Children's Hospital, B4 6NH Birmingham, UK.
Rectal small bowel evisceration is rare in children, often linked to pool injuries. This case highlights a unique instance of ileal evisceration caused by a self-inflicted injury in a teenaged boy, a previously unreported mechanism.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Trauma Surgery
Background:
- Small bowel evisceration through the rectum is an exceedingly rare pediatric surgical emergency.
- Previous reports predominantly link this injury to swimming pool suction incidents.
Purpose of the Study:
- To report a unique case of ileal evisceration in a teenaged male.
- To describe an unusual mechanism of injury leading to rectal evisceration.
Main Methods:
- Case report detailing a teenaged boy presenting with self-inflicted ileal evisceration.
- Review of existing literature on rectal evisceration in pediatric and adult populations.
Main Results:
- The patient experienced ileal evisceration due to a self-inflicted injury.
- This mechanism of small bowel evisceration through the rectum is novel and has not been previously documented in any age group.
Conclusions:
- Self-inflicted injury can lead to rare but severe gastrointestinal trauma, including rectal evisceration.
- This case expands the known etiologies of small bowel evisceration, emphasizing the need for vigilance in unusual presentations.
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