Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Oct;30(10):768-770. doi: 10.14744/tjtes.2024.87273.
Evisceration of the small intestine from a perforated rectum is a rare condition, particularly seen in elderly women. We present a case involving an 83-year-old woman with a history of chronic rectal prolapse and no other comorbidities. The patient declined surgical intervention for her rectal prolapse, and one month later, she presented with evisceration of the small intestine from the anus. The intervention was a laparotomy followed by Hartmann's procedure, which is the most recommended procedure. No small bowel resection was necessary. Although the management of this case was adequate and timely, the patient did not survive. This case underscores that elective repair of rectal prolapse might prevent this very rare but potentially fatal complication of transanal small intestinal evisceration.
从穿孔的直肠中脱出小肠是一种罕见的情况，尤其见于老年女性。我们介绍了一例涉及 83 岁女性的病例，该患者有慢性直肠脱垂病史，无其他合并症。患者拒绝接受直肠脱垂的手术干预，一个月后，她出现了小肠从肛门脱出的情况。干预措施是剖腹手术和 Hartmann 手术，这是最推荐的手术。无需进行小肠切除术。尽管该病例的治疗及时且适当，但患者最终仍未能存活。该病例强调，选择性修复直肠脱垂可能预防经肛门小肠脱出这一非常罕见但可能致命的并发症。
