title: Spontaneous rupture of the rectosigmoid colon with anal evisceration: a new complication of uterine prolapse.
abstract: Spontaneous large bowel perforations have been associated with chronic constipation. The previously reported episodes of anal evisceration of small intestine have occurred in patients with a rectal prolapse. An end-stage complication of chronic third degree uterine prolapse is presented. A laceration of the anterior rectosignoid colon wall permitted small bowel extrusion through the anus. The tearing effect exerted by the prolapsed uterus at the rectouterine fold presumably caused the rectosigmoid laceration.
mesh_terms: D000368:Aged; D012809:Colon, Sigmoid / Q000503:physiopathology; D003108:Colonic Diseases / Q000209:etiology*; D003125:Colostomy; D005260:Female; D006801:Humans; D007421:Intestine, Small; D012002:Rectal Diseases / Q000209:etiology; D012005:Rectal Prolapse / Q000209:etiology* / Q000601:surgery; D012422:Rupture, Spontaneous / Q000209:etiology