A case of small bowel evisceration through the rectum and anus.
Br J Hosp Med (Lond)
; 85(7): 1-3, 2024 Jul 30.
Article
en En
| MEDLINE
| ID: mdl-39078916
ABSTRACT
A 46-year-old man presented with a small bowel prolapsing through the anus after straining on the toilet, which was starting to become ischaemic. He admitted to inserting a plastic object in his rectum about half an hour before straining. The bowel was kept moist by placing an intravenous drip line with saline dripping onto a wet swab. In theatre, the bowel was found to be prolapsing through a hole in the upper rectum and out through the anus. It was reduced back into the abdominal cavity through the same perforation, which was 4 cm long, without needing to extend it. This was sutured with polydioxanone (PDS) 2-0 as there was no contamination with faeces or pus. Due to improvement in the appearance of a small bowel and an extremely bruised mesentery, a re-look was planned in 24 hours. At the re-look the small bowel appeared healthy, therefore no resection was performed. However, a loop colostomy was fashioned to protect the upper rectal perforation repair. This shows that resection is not always required in such cases.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Intestino Delgado
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Br J Hosp Med (Lond)
Asunto de la revista:
HOSPITAIS
/
MEDICINA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Reino Unido