Uncommon clinical presentations of large intestine injury—Report of two cases

Jacek Karoń, Karolina Horbacka, Mariusz Stawiński, Mateusz Michalski, Piotr Krokowicz

Department of General and Colorectal Surgery, University of Medical Sciences, Poznań, Poland.
Department of General, Laparoscopic and Endocrine Surgery, Poznań, Poland.

DOI: 10.4236/crcm.2014.32018                

Abstract

We present an unusual clinical manifestation of a rectal rupture discussing two cases of female patients hospitalized and operated on urgently. The extraordinary presentations during physical examination, which eventually provided a solid indication for immediate operation included sigmoid colon prolapse in one case and evisceration of small intestine through the anus in the other. In both patients, Hartmann procedure was successfully performed resulting in relatively fast recovery despite an elderly age and hospital discharge on the 10^th postoperative day. Although sigmoid colon or ileal prolapse is not commonly observed in bizarre medical condition, they may be the first symptoms of rectal/rectosigmoid injuries as a result of underlying colon disorder such as diverticular disease, spontaneous rupture or self-injury.

Keywords

Rectal Tear; Transanal Small Bowel Evisceration; Hartmann Procedure

Conflicts of Interest

The authors declare no conflicts of interest.

References

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