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Evisceration of Small Bowel Through Rectum: A Case Report
Husain Gheewala1, Mohammed Iqbal1, Clare McNaught1
1Scarborough General Hospital York Teaching Hospitals NHS Foundation Trust, UK.
Maedica
|March 11, 2020
Summary
Small bowel evisceration through the rectum is a rare emergency. This case highlights the acute presentation of chronic rectal prolapse in an elderly female, requiring immediate surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Emergency
- Colorectal Surgery
Background:
- Small bowel evisceration through the rectum is an extremely rare complication.
- Chronic rectal prolapse and increased intra-abdominal pressure are common predisposing factors.
- This condition often presents as an acute surgical emergency.
Discussion:
- Initial management involves resuscitation and bowel protection with moist hot packs.
- Treatment strategy is contingent upon the individual patient's overall health status.
- Palliative care is a consideration for extremely frail patients.
- Laparotomy with Hartmann's procedure is identified as the safest surgical approach.
Key Insights:
- Reports a unique case of an elderly female with chronic full-thickness rectal prolapse.
- The patient presented with acute small bowel evisceration via the anus.
- Highlights the critical importance of timely diagnosis and tailored management in such rare emergencies.
Outlook:
- Further research into optimal surgical techniques for this rare condition is warranted.
- Emphasizes the need for heightened clinical awareness among emergency physicians and surgeons.
- Understanding predisposing factors can aid in preventative strategies for chronic rectal prolapse complications.
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