Trinidade Aaron, Shakeel Muhammad, Jehan Shah
Department of Surgery, Luton and Dunstable Hospital, UK.
J Coll Physicians Surg Pak. 2010 Nov;20(11):760-2.
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.
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。