SMALL BOWEL EVISCERATION THROUGH THE ANUS: A RARE PRESENTATION IN RECTAL PROLAPSE

Dr. Hitesh Kumar and Dr. Dharam Dev*

ABSTRACT

Evisceration of the small intestine through the anus is a rare presentation in emergency. We reported a case of 60 year female with history of recurrent rectal prolapsed aggravated during the act of defecation followed by self reduction. Patient presented in emergency OPD of department of general surgery IGMC Shimla with small bowel protruding out through anus. Patient admitted and emergency operation was done and reduction of healthy looking small bowel and repair of tear present on anterior wall of the rectum was done. on POD-7 bile tinged fluid came in drains, reexploration done and resection of gangrenous segment with exteriorization of both the end of bowel done, subsequently patient operated third time to maintain bowel continuity after 2 month.

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