Trans-anal small bowel evisceration in a patient with a perforated rectal prolapse.
S Afr J Surg
; 61(3): 42-43, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37791714
ABSTRACT
SUMMARY:
An 85-year-old lady with a history of chronic constipation presented with gangrenous small bowel protruding from the anus through a hole in a prolapsed rectum. At surgery, a resection of 125 cm of gangrenous small bowel was performed in the perineum prior to laparotomy, where rectal repair was followed by the creation of a sigmoid loop colostomy and double-barrel ileostomy. This avoided an intrabdominal anastomosis which was felt likely to complicate due to the lady's intraoperative haemodynamic instability requiring inotropic support. This tailored management of a trans-anal small bowel evisceration through a rectal prolapse resulted in recovery and a patient who was content with her stomas and preferred to live with them rather than have continuity restored.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Prolapso Rectal
Límite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
S Afr J Surg
Año:
2023
Tipo del documento:
Article
País de afiliación:
Sudáfrica