RESUMO
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® 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.
RESUMO
INTRODUCTION: Tailgut cysts are rare diseases but can be challenging to manage. PRESENTATION OF CASE: This is a case report of a tailgut cyst, in a 42 year old female. The cyst was incidentally detected on imaging, and treated with Kraske surgical approach. DISCUSSION: Hereby, we review the relevant information present in the medical literature about the incidence, methods of diagnosis, treatment options and management plans. CONCLUSION: Surgical management should be tailored individually for each patient, based on the advantages and disadvantages of each surgical approach.
