TITLE:
Transanal Evisceration of Small Bowel about One Case at the University Hospital Yalgado Ouédraogo of Ouagadougou
AUTHORS:
Adama Sanou, Moussa Bazongo, Edgar Ouangré, Maurice Zida, Gilbert Patindé Bonkoungou, Rodrique Namékinsba Doamba, Sylvain Wendmi Karfo, Elie Yamba Sawadogo, Nayi Zongo, Si Simon Traoré
KEYWORDS:
Evisceration, Transanal, Small Bowel, Rectum, Sigmoid
JOURNAL NAME:
Surgical Science,
Vol.7 No.7,
July
5,
2016
ABSTRACT: Introduction:
Transanal evisceration of small bowel is an extremely rare condition that can
occur spontaneously or after trauma. Objective: To report a case of Transanal
evisceration of small bowel to describe the circumstances of occurrence and our
therapeutic attitude. Observation: An 80-year-old female
patient was received at the visceral Emergency of University Hospital Yalgado Ouédraogo for the outcome of the
small intestine by the anus with the waning of a defecation effort. The
physical examination of the patient accustomed to evacuation purgation noted,
eviscerated the small bowel through the anus, edematous but viable. The
preoperative laboratory tests were normal. In emergency, under general
anesthesia, a laparotomy was possible to objectify the incarceration of
intestinal loops through linear perforation of 5 cenimeter from the anterior surface
of the rectosigmoid hinge. We conducted
an ileo-ileal resection anastomosis, a suture rectosigmoid breach and anal
extraction of small bowel incarcerated measuring 200 centimeter. The evolution was simple. Conclusion: The
weakening of the rectal mucosa by repeated purges has certainly been the
contributory factor. The surgical treatment must be precocious to avoid extensive
intestinal resection.