Strangulated Transanal Evisceration of Small Bowel Complicating Rectal Prolapse of the Child: An Observation of the University Hospital Center of Parakou, Benin
Transanal intestinal evisceration is an extremely rare and dramatic digestive surgical emergency. The cases reported in the literature are few and concern much more elderly patients. We report the case of a 3-year-old boy admitted in very general poor condition to the emergency department, late for transanal evisceration complicating rectal prolapse that the parents tried to reduce. The fatal outcome of this case is probably related to strangulation and delay in consultation. We learn from this that parents should avoid inopportune prolapse reduction and early consultation.
References
[1]
Trinidade, A., Shakeel, M. and Transanal, J.S. (2010) Small Bowel Evisceration Following Digital Reduction of a Chronically Prolapsing Rectum. Journal of the College of Physicians and Surgeons Pakistan, 20, 760-762.
[2]
Kunin, N., Le Roy, M.L., Ollivier, F., Morin-Chouarbi, V. and Verbrackel, L. (2005) Prolapsus rectal avec éviscération transanale aigue du colon sigmoide. Gastroentérologie Clinique et Biologique, 29, 478-479.
https://doi.org/10.1016/S0399-8320(05)80824-3
[3]
Ba, P.A., Soumah, S.A., Diop, B., Traoré, M.M., Mahdi, C., Mbaye, E.M., et al. (2011) Eviscération transanale de l’intestin grêle chez l’enfant secondaire à une contusion de l’abdomen: à propos d’un cas. Pan African Medical Journal, 10, 50.
[4]
Price, N.R., Soundappan, S.V. and Sparnon, A.L. (2010) Cass DT. Swimming Pool Filter-Induced Transrectal Evisceration in Children: Australian Experience. The Medical Journal of Australia, 192, 534-536.
[5]
Rechner, P. and Cogbill, T.H. (2001) Transanal Small Bowel Evisceration from Abdominal Crush Injury: Case Report and Review of the Literature. Journal of Trauma, 50, 934-936. https://doi.org/10.1097/00005373-200105000-00028
[6]
Roy, A.K., Shukla, P. and Singh, S. (2009) Rectal Perforation and Evisceration of the Small Intestine: A Rare Injury in Blunt Trauma of the Abdomen. Journal of Trauma, 66, 286. https://doi.org/10.1097/01.ta.0000241170.09288.f9
[7]
Bronkhorst, M.W., Wilde, J.C., Hamming, J.F. and Heij, H.A. (2007) Anorectal Impalement in a Pediatric Patient with Transanal Evisceration of Small Bowel. Journal of Pediatric Surgery, 42, 23-25.
https://doi.org/10.1016/j.jpedsurg.2007.06.010
[8]
Ravikumar, R., Robb, A. and Jawaheer, G. (2008) Small Bowel Evisceration through the Rectum in Childhood. Journal of Pediatric Surgery, 43, 562-563.
https://doi.org/10.1016/j.jpedsurg.2007.11.008
[9]
Juern, J., Schmeling, D. and Feltis, B. (2010) Transanal Wading Pool Suction-Drain Injury Resulting in Complete Evisceration of the Small Intestine: Case Report and Review of the Literature. Journal of Pediatric Surgery, 45, E1-E3.
https://doi.org/10.1016/j.jpedsurg.2010.01.020
[10]
Press, S., Grant, P., Thompson, V.T. and Milles, K.L. (1991) Small Bowel Evisceration: Unusual Manifestation of Child Abuse. Pediatrics, 88, 807-809.
[11]
Gomez-Juarez, M., Cascales, P., Garcia-Olmo, D., Gomez-Juarez, F., Usero, S., Capilla, P., et al. (2001) Complete Evisceration of the Small Intestine through a Perianal Wound as a Result of Suction at a Wading Pool. Journal of Trauma, 51, 398-399. https://doi.org/10.1097/00005373-200108000-00033
[12]
Nari, G.A., Moreno, E. and Ponce, O. (2001) Transanal Prolapse of the Small Intestine Secondary to Spontaneous Rupture of the Rectum. Annales de Chirurgie, 126, 818-820. https://doi.org/10.1016/S0003-3944(01)00612-5
[13]
Corduk, N., Koltuksuz, U., Karabul, M., Savran, B., Bagci, S. and Sarioglu-Buke, A. (2011) A Rare Presentation of Crush Injury: Transanal Small Bowel Evisceration. Case Report and Review of the Literature. Pediatric Surgery International, 27, 1021-1024. https://doi.org/10.1007/s00383-010-2817-9
[14]
Prasass, D., Stunneck, D., Rolfs, T.-M. and Schumacher, F.-J. (2017) Transanal Evisceration of the Small Bowel—Report of a Case. Zeitschrift fur Gastroenterologie, 55, 274-276. https://doi.org/10.1055/s-0043-101529
[15]
Hovey, M.A. and Metcalf, A.M. (1997) Incarcerated Rectal Prolapsed-Rupture and Ileal Evisceration after Failed Reduction: Report of a Case. Diseases of the Colon and Rectum, 40, 1254-1257. https://doi.org/10.1007/BF02055174
[16]
Berwin, J.T., Ho, T.K. and D’Souza, R. (2012) Small Bowel Evisceration through the Anus-Report of a Case and Review of Literature. BMJ Case Reports.
https://doi.org/10.1136/bcr.12.2011.5316
[17]
Morris, A.M., Setty, S.P., Standage, B.A., et al. (2003) Acute Transanal Evisceration of the Small Bowel: Report of a Case and Review of the Literature. Diseases of the Colon and Rectum, 46, 1280-1283. https://doi.org/10.1007/s10350-004-6727-6
