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Rupture of the rectosigmoid colon with evisceration of the small bowel through the anus

Authors
 Joon Jeong  ;  Joon Seong Park  ;  Chang Gyoo Byun  ;  Dong Sup Yoon  ;  Seung Kook Sohn  ;  Yoon Ho Lee  ;  Hoon Sang Chi 
Citation
 Yonsei Medical Journal, Vol.41(2) : 289-292, 2000 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2000
MeSH
Aged ; Aged, 80 and over ; Colonic Diseases/etiology* ; Female ; Humans ; Rectal Prolapse/complications* ; Rupture, Spontaneous ; Uterine ; Prolapse/complications*
Keywords
Rupture ; Rectosigmoid colon ; Small Bowel evisceration
Abstract
Spontaneous rupture of the rectosigmoid colon and herniation of the small intestine through the rupture site and eventual evisceration through the anus is a very rare event. In the literature, only 42 cases have been reported. The majority of them occurred in patients with rectal prolapse and one case was reported in association with a third-degree uterine prolapse. We experienced an 81-year-old female patient with rectal prolapse and second-degree uterine prolapse complicated by spontaneous perforation of the rectosigmoid colon and anal evisceration of the small intestine. Segmental resection of the nonviable small intestine, primary repair of the ruptured rectosigmoid colon, and sigmoid loop colostomy were performed, and the patient recovered well. In our patient, both rectal and uterine prolapses cooperatively damaged the anterior wall of the rectosigmoid colon and resulted in perforation. So, rectal and uterine prolapses should be treated before the complication develops. In this patient, uterine prolapse should be treated because of the recurrence of this rare episode.
Files in This Item:
T200001579.pdf Download
DOI
10.3349/ymj.2000.41.2.289
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Jeong, Joon(정준) ORCID logo https://orcid.org/0000-0003-0397-0005
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171890
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