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Case report: Sigmoid strangulation from evisceration through a perforated rectal prolapse ulcer - An unusual
Jennifer Z Li1, Tiffaney Kittmer1, Shawn Forbes1
1Division of General Surgery McMaster University, Hamilton, ON, Canada.
Introduction:
Rectal prolapse occurs particularly in elder females and presentation can sometimes lead to complications such as strangulation and evisceration of other organs through the necrotic mucosa.
Presentation Of Case:
This is a case of a 61 year-old female with rectal prolapse complicated by rectal perforation through which a segment of sigmoid colon eviscerated and became strangulated. This patient initially presented with sepsis requiring ICU admission, but fully recovered following a Hartmann's procedure with a sacral rectopexy.
Discussion:
Complications of rectal prolapse include incarceration, strangulation, and rarely, perforation with evisceration of other viscera requiring urgent operation. This report provides a brief overview of complications associated with rectal prolapse, reviews similar cases of transrectal evisceration, and discusses the management of chronic rectal prolapse.
Conclusion:
Prompt surgical consult is warranted if any signs or symptoms suggestive of complications from prolapse are present.
