title: Transanal Small Bowel Evisceration: An Unusual Presentation of Rectal Impalement.
abstract: Traumatic transanal small bowel evisceration is a rare condition usually associated with suction injuries or blunt abdominal trauma. We report the first case of intestinal evisceration through the anus caused by penetrating trauma (rectal impalement). Additionally, we performed a literature review of all English language articles since 1970 concerned with traumatic transanal small bowel evisceration. Mechanisms of injury and the surgical management are discussed.
authors.affiliation: Department of Surgery, University of Santo Amaro Medical School, São Paulo, Brazil. rodvince@gmail.com.|, R. Antonio Garbelotto 194, 09551-260, Sao Caetano do Sul, São Paulo, SP, Brazil. rodvince@gmail.com.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Vincenzi
authors.affiliation: Heart Institute, University of Sao Paulo Medical School, São Paulo, Brazil.
authors.forename: Ruy J
authors.initials: RJ
authors.lastname: Cruz
keywords: Rectosigmoid perforation; Small bowel; Transanal evisceration
references.citation: Dis Colon Rectum. 1979 Nov-Dec;22(8):569-72
references.pmid: 527453
references.citation: Yonsei Med J. 2000 Apr;41(2):289-92
references.pmid: 10817034
references.citation: Aust N Z J Surg. 1998 Dec;68(12):852-5
references.pmid: 9885867
references.citation: J Trauma. 1994 Nov;37(5):843-7
references.pmid: 7966487
references.citation: J Pediatr Surg. 1983 Feb;18(1):10-3
references.pmid: 6834219
references.citation: JAMA. 1987 Mar 6;257(9):1177
references.pmid: 3806912
references.citation: Dis Colon Rectum. 2003 Sep;46(9):1280-3
references.pmid: 12972975
references.citation: Surgery. 2004 Jan;135(1):110-1
references.pmid: 14694309
references.citation: Eur J Trauma Emerg Surg. 2008 Dec;34(6):606
references.pmid: 26816288
references.citation: Ir Med J. 1984 Dec;77(12):396-7
references.pmid: 6519935
references.citation: Injury. 1977 Nov;9(2):168-9
references.pmid: 591054
references.citation: Ann Emerg Med. 1982 Feb;11(2):102-4
references.pmid: 7137679
references.citation: Br J Surg. 1972 Feb;59(2):149-51
references.pmid: 4606952
references.citation: J Trauma. 2001 May;50(5):934-6
references.pmid: 11371856
references.citation: Int J STD AIDS. 1996 May-Jun;7(3):166-9
references.pmid: 8799777