title: Spontaneous perforation of rectum with evisceration of small bowel simulating intussusception.
abstract: BACKGROUND
  Spontaneous perforation of rectum is a rare event; however evisceration of the small bowel through the perforated site without predisposing factors is extremely rare, complex and worth reporting.
  
  
  METHODS
  A 14 years old presented to us apparently as a case of intussception. The operative findings revealed it to be a case of spontaneous perforation of rectum with evisceration of the small bowel through the perforation.
  
  
  CONCLUSIONS
  Sudden increase in the intra-abdominal pressure leads to the perforation in the chronically deranged rectal wall and pushes the small bowel loops into the pelvis and through the perforated rectum to appear transanally.
authors.affiliation: Emergency Hospital, Vijaypur, Jammu, J&K, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Bhat
authors.forename: Tariq P
authors.initials: TP
authors.lastname: Azad
authors.forename: Manmeet
authors.initials: M
authors.lastname: Kaur