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Tech Coloproctol ; 8 Suppl 1: s126-8, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15655595

ABSTRACT

Spontaneous rupture of the rectosigmoid with small bowel evisceration through the anus is a rare and acute condition of the gastrointestinal tract. After Brodie's first description, only 52 such cases have been reported in the literature. An 83-year-old woman experienced a sudden, spontaneous rectosigmoid rupture and protrusion of small bowel loops, through the ruptured colon and out of the anus. After an immediate management, an emergency operation was performed, and a small bowel resection and suturing of the ruptured rectosigmoid were carried out for restoration of bowel continuity. On the 41st postoperative day, a massive cerebro-vascular accident (CVA) was the cause of the patient's death. Discussion of the aetiology and treatment of this rare condition.


Subject(s)
Hernia/etiology , Rectal Prolapse/etiology , Sigmoid Diseases/complications , Aged , Aged, 80 and over , Anastomosis, Surgical , Fatal Outcome , Female , Herniorrhaphy , Humans , Intestine, Small/surgery , Laparotomy/methods , Postoperative Complications/diagnosis , Rectal Prolapse/surgery , Risk Assessment , Rupture, Spontaneous/etiology , Rupture, Spontaneous/surgery , Severity of Illness Index , Sigmoid Diseases/diagnosis , Sigmoid Diseases/surgery
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