Transanal small bowel evisceration: A case report and literature review

Introduction: Transanal small bowel evisceration remains a rarely recorded emergent situation in the scientific literature. This article describes the rather seldom complication of a non-treated long standing rectal prolapse presenting in the form of transanal prolapse of the small bowel due to rectal perforation. Presentation of case: We present the case of an 84 year old female, who presented to our emergency department with transanal evisceration of the small bowel. Discussion: This rare case presentation led us to perform an accompanying review of the literature, using Pubmed (R) searching for the words "transanal evisceration", "rectal prolapse", and "rectal perforation". We discuss the outcomes of our literature review, possible pathogenesis and the available treatment options. Conclusion: Although transanal evisceration of small bowel presents a rare emergency, having the knowledge of this condition would help early recognition of this incidence and hopefully lead to early treatment, which would avoid drastic consequences as a result of small bowel strangulation.