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[Transanal evisceration of small bowel caused by impalement in children: about a case]

Ibrahima Bocar Wellé1, Pape Alassane Mbaye1, Ndéye Fatou Séck1

  • 1Service de Chirurgie Pédiatrique, Hôpital d'Enfant Albert Royer, Sénégal.

The Pan African Medical Journal
|March 3, 2021
PubMed

Insights

A rare case of transanal small bowel evisceration occurred in an 11-year-old girl after impalement. Prompt surgical repair led to a successful recovery with normal bowel function.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Transanal evisceration of the small intestine is an extremely rare pediatric injury.
  • This case highlights a unique presentation following impalement from a fall.

Observation:

  • An 11-year-old girl presented with approximately 25 cm of viable small bowel eviscerated through the anus.
  • Examination revealed abdominal tenderness; preoperative labs were normal, and no imaging was performed.
  • Surgical exploration identified 300 ml of serohematic fluid and 60 cm of inflamed small bowel through a rectal wall rupture.

Findings:

  • The surgical team successfully reduced the eviscerated intestinal loops.
  • Primary repair of the rectal wall was achieved using separated sutures.
  • The patient received broad-spectrum antibiotics, and bowel transit resumed within two days.

Implications:

  • This case demonstrates the feasibility of successful surgical management for transanal small bowel evisceration in children.
  • Early surgical intervention is crucial for favorable outcomes in such rare traumatic injuries.
  • This report contributes to the limited literature on pediatric rectal trauma and intestinal evisceration.

Keywords:
SenegalTransanal Eviscerationchildimpalementsmall bowel

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