A Case of Rectal Perforation with Sigmoid Colon Evisceration Through the Anus

Ippei Fukada, Kazuyuki Kawamoto, Masato Oyama, Mitsuhiro Kunisue, Michio Okabe, Kaoru Sano, Tebun Paku, Yasuo Yoshida, Tadashi Ito and Keizo Ogasahara

Department of Surgery, Kurashiki Central Hospital

We report a very rare case of rectal perforation with sigmoid colon evisceration through the anus. A 27-years'-old mentally retarded man brought to emergency ward due to mass bloody bowel discharge and intestinal escape on defecation was found to have the sigmoid colon escaping from the anus, necessitating emergency surgery due to rectal perforation. The torn region was rectosigmoid which located in 10 cm from the oral side from peritoneal reflection. The sigmoid colon had invaginated in the rectal anal stump. We conducted Hartmann's operation, the postoperative course was good and the man was discharged on postoperative day 40.

Key words
rectal perforation, sigmoid colon evisceration, proctocele

Reprint requests
Ippei Fukada Department of Surgery, Kurashiki Central Hospital
1-1-1 Miwa, Kurashiki, 710-8602 JAPAN

Accepted
December 17, 2008

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