title: Spontaneous rupture of the rectosigmoid with small bowel evisceration through the anus.
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.
authors.affiliation: 1st Propedeutical Department of Surgery, Aristotle University, AHEPA Hospital, Thessaloniki, Greece. jimkam@med.auth.gr
authors.forename: C
authors.initials: C
authors.lastname: Papapolychroniadis
authors.forename: D
authors.initials: D
authors.lastname: Kaimakis
authors.forename: K
authors.initials: K
authors.lastname: Giannoulis
authors.forename: A
authors.initials: A
authors.lastname: Parlapani
authors.forename: E
authors.initials: E
authors.lastname: Karpini
authors.forename: M
authors.initials: M
authors.lastname: Georgiou
authors.forename: M
authors.initials: M
authors.lastname: Giala
authors.forename: N
authors.initials: N
authors.lastname: Harlaftis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D017809:Fatal Outcome; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D007421:Intestine, Small / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis; D012005:Rectal Prolapse / Q000209:etiology* / Q000601:surgery; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery; D012720:Severity of Illness Index; D012810:Sigmoid Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery