title: Case report: Sigmoid strangulation from evisceration through a perforated rectal prolapse ulcer - An unusual complication of rectal prolapse.
abstract: BACKGROUND
  Rectal prolapse occurs particularly in elder females and presentation can sometimes lead to complications such as strangulation and evisceration of other organs through the necrotic mucosa.
  
  
  METHODS
  This is a case of a 61 year-old female with rectal prolapse complicated by rectal perforation through which a segment of sigmoid colon eviscerated and became strangulated. This patient initially presented with sepsis requiring ICU admission, but fully recovered following a Hartmann's procedure with a sacral rectopexy.
  
  
  CONCLUSIONS
  Complications of rectal prolapse include incarceration, strangulation, and rarely, perforation with evisceration of other viscera requiring urgent operation. This report provides a brief overview of complications associated with rectal prolapse, reviews similar cases of transrectal evisceration, and discusses the management of chronic rectal prolapse.
  
  
  CONCLUSIONS
  Prompt surgical consult is warranted if any signs or symptoms suggestive of complications from prolapse are present.
authors: Division of General Surgery McMaster University, Hamilton, ON, Canada. Electronic address: Jennifer.li@medportal.ca.
authors: Jennifer Z
authors: JZ
authors: Li
authors: Division of General Surgery McMaster University, Hamilton, ON, Canada.
authors: Tiffaney
authors: T
authors: Kittmer
authors: Division of General Surgery McMaster University, Hamilton, ON, Canada.
authors: Shawn
authors: S
authors: Forbes
authors: Division of General Surgery McMaster University, Hamilton, ON, Canada.
authors: Leyo
authors: L
authors: Ruo
keywords: Rectal prolapse; Strangulation; Transrectal evisceration