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慢性脱垂性直肠经手法复位后经肛门小肠脱出

Transanal small bowel evisceration following digital reduction of a chronically prolapsing rectum.

作者信息

Trinidade Aaron, Shakeel Muhammad, Jehan Shah

机构信息

Department of Surgery, Luton and Dunstable Hospital, UK.

出版信息

J Coll Physicians Surg Pak. 2010 Nov;20(11):760-2.

PMID:21078252
Abstract

Evisceration of the small bowel through a rectal perforation is rare. This is the case of a 66 year-old female presenting to the Accident and Emergency Department with transanal evisceration of her small bowel resulting from attempted digital reduction and subsequent tear of her chronically prolapsing rectum. Reduction of the prolapsed small bowel and primary repair of the rectal tear were carried out at laparotomy. The management of this case is discussed.

摘要

经直肠穿孔导致小肠脏器脱出的情况较为罕见。本文报道了一名66岁女性患者,因试图手法复位慢性脱垂的直肠,随后直肠撕裂,导致小肠经肛门脱出,就诊于急诊室。剖腹手术时对脱出的小肠进行了复位,并对直肠撕裂进行了一期修复。本文对该病例的处理进行了讨论。

相似文献

1
Transanal small bowel evisceration following digital reduction of a chronically prolapsing rectum.慢性脱垂性直肠经手法复位后经肛门小肠脱出
J Coll Physicians Surg Pak. 2010 Nov;20(11):760-2.
2
Transanal evisceration of small bowel in two patients with chronic rectal prolapse: case presentation and literature review.两例慢性直肠脱垂经肛门小肠脱出患者:病例报告及文献复习。
Ann R Coll Surg Engl. 2021 Jan;103(1):e29-e34. doi: 10.1308/rcsann.2020.0199. Epub 2020 Sep 24.
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Rupture of the rectum with evisceration of small intestine through the anus: a complication of advanced rectal prolapse. Case report.直肠破裂伴小肠经肛门脱出:晚期直肠脱垂的一种并发症。病例报告。
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[Evisceration of the small intestine through the ruptured wall of prolapsed rectum].[小肠经直肠脱垂破裂壁脱出]
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Incarcerated rectal prolapse--rupture and ileal evisceration after failed reduction: report of a case.嵌顿性直肠脱垂——复位失败后破裂及回肠脱出:病例报告
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Evisceration 5 years post abdominal hysterectomy.腹部子宫切除术后5年发生脏器去除术。
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引用本文的文献

1
Spontaneous Rectal Perforation With Transanal Small Bowel Evisceration: A Rare Complication of Chronic Rectal Prolapse.经肛门小肠脱出的自发性直肠穿孔:慢性直肠脱垂的一种罕见并发症。
Cureus. 2025 Jan 4;17(1):e76904. doi: 10.7759/cureus.76904. eCollection 2025 Jan.
2
Spontaneous evisceration of small bowel through the rectum in the background of rectal prolapse.直肠脱垂背景下小肠经直肠自发性脱出。
SAGE Open Med Case Rep. 2021 Apr 27;9:2050313X211011809. doi: 10.1177/2050313X211011809. eCollection 2021.
3
Rectal Prolapse Concomitant with Uterovaginal Prolapse Protects the Ileum from Necrosis in Transanal Ileum Evisceration through a Traumatic Tear on the Sigmoid Wall.
直肠脱垂合并子宫阴道脱垂可通过乙状结肠壁的外伤性撕裂在经肛门回肠拖出术中保护回肠免于坏死。
Case Rep Gastroenterol. 2020 Aug 26;14(2):420-425. doi: 10.1159/000508437. eCollection 2020 May-Aug.
4
Transanal evisceration of small bowel in two patients with chronic rectal prolapse: case presentation and literature review.两例慢性直肠脱垂经肛门小肠脱出患者:病例报告及文献复习。
Ann R Coll Surg Engl. 2021 Jan;103(1):e29-e34. doi: 10.1308/rcsann.2020.0199. Epub 2020 Sep 24.
5
[Rare form of transanal organ prolapse].[经肛门器官脱垂的罕见形式]
Chirurg. 2016 Jul;87(7):602-3. doi: 10.1007/s00104-015-0137-2.
6
Transanal evisceration of small bowel-a rare surgical emergency.经肛门小肠脱出——一种罕见的外科急症。
J Clin Diagn Res. 2014 Jan;8(1):183-4. doi: 10.7860/JCDR/2014/7231.3969. Epub 2014 Jan 12.