[Evisceration of the small intestine due to rectum rupture]

Evisceration of the small intestine from the anus due to a rectal rupture was diagnosed in two patients, males aged 93 and 25 years. The former had had a rectal prolapse for years; the evisceration occurred after a fall from the bed. The lower abdomen of the second patient was caught between the counterweight of a bridge and a wall. Laparotomy in both patients revealed a rupture in the ventral portion of the rectosigmoid, but no pre-existent lesions in this part of the intestinal wall. Treatment in the first patient consisted of resection of the rectosigmoid with creation of an end colostomy, the eviscerated intestinal tract being repositioned in the abdominal cavity after thorough cleansing. In the second patient the eviscerated intestinal tract had to be resected. In this case also, an end colostomy was created and the rupture in the rectum was closed transanally. Both patients recovered well.