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直肠乙状结肠自发性破裂伴小肠经肛门脱出。病例报告及文献复习。

Spontaneous rupture of the rectosigmoid with small-bowel evisceration through the anus. Report of a case and review of the literature.

作者信息

Czerniak A, Avigad I, Vermesh M, Rabau M Y, Wolfstein I

出版信息

Dis Colon Rectum. 1983 Dec;26(12):821-2. doi: 10.1007/BF02554760.

DOI:10.1007/BF02554760
PMID:6641467
Abstract

A patient with spontaneous rupture of the rectum and evisceration of small bowel through the anus is presented. To the authors' knowledge, this paper represents the third reported case of this type of spontaneous rectal rupture. A discussion of the pathogenesis and treatment of this rather unique complication is presented. It is suggested that rectal or rectosigmoid rupture be considered a rare complication of rectal prolapse.

摘要

本文报告了一例直肠自发性破裂并伴有小肠经肛门脱出的患者。据作者所知,本文是此类直肠自发性破裂的第三例报道。文中对这一相当独特的并发症的发病机制及治疗进行了讨论。建议将直肠或直肠乙状结肠破裂视为直肠脱垂的一种罕见并发症。

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引用本文的文献

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Int J Surg Case Rep. 2025 Oct;135:111874. doi: 10.1016/j.ijscr.2025.111874. Epub 2025 Aug 28.
2
Transanal evisceration of small intestines due to chronic rectal prolapse: Still an intriguing case.慢性直肠前突导致小肠经肛门脱出:仍然是一个有趣的病例。
Ulus Travma Acil Cerrahi Derg. 2024 Oct;30(10):768-770. doi: 10.14744/tjtes.2024.87273.
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Rare case of an 83-year-old woman with transrectal small bowel evisceration caused by spontaneous rectal perforation.
83 岁女性罕见病例,因直肠自发性穿孔导致经直肠小肠脱出。
BMJ Case Rep. 2022 Feb 9;15(2):e246965. doi: 10.1136/bcr-2021-246965.
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Small bowel evisceration through the anus--report of a case and review of literature.经肛门小肠脱出——1例报告并文献复习
BMJ Case Rep. 2012 May 8;2012:bcr1220115316. doi: 10.1136/bcr.12.2011.5316.
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Thiersch repair of a spontaneous rupture of rectal prolapse with evisceration of small bowel through anus - a case report.经肛门行小肠脱出的直肠脱垂自发性破裂的席尔施修补术——病例报告
Ann R Coll Surg Engl. 2007 Jan;89(1):W6-8. doi: 10.1308/147870807X160362.