title: Evisceration of the small bowel through a perforated and prolapsed sigmoid colon: an unusual presentation of rectal prolapse.
abstract: Spontaneous prolapse of the sigmoid colon and evisceration of the small bowel through a rupture in the rectosigmoid is a rare presentation. We report a case of a 60-year-old man presenting with massive small bowel evisceration through a perforation in a prolapsed sigmoid colon. The patient had a 2-year history of rectal prolapse. He was also incontinent for flatus and liquid stool. There was no other significant medical history. After reduction of the small intestine, a large perforation was seen in the prolapsed sigmoid colon. The sigmoid colon was identified by presence of appendices epiploicae and taeniae coli. After initial resuscitation, an emergency laparotomy was performed. The perforated sigmoid colon was resected and a Hartmann's colostomy was created. This resulted in complete recovery. Reversal of the Hartmann's colostomy was performed after 6 weeks.
authors.affiliation: Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Arshad
authors.identifier: http://orcid.org/0000-0002-0659-954X
authors.initials: A
authors.lastname: Ahmad
authors.affiliation: Department of General Surgery, CSM (Erstwhile King George's) Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Suresh
authors.initials: S
authors.lastname: Kumar
authors.affiliation: CSM Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Abhinav Arun
authors.initials: AA
authors.lastname: Sonkar
authors.affiliation: Department of General Surgery, King George's Medical University Lucknow, Lucknow, Uttar Pradesh, India.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Kumar
mesh_terms: D012809:Colon, Sigmoid; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000150:complications*; D012422:Rupture, Spontaneous / Q000209:etiology; D012810:Sigmoid Diseases / Q000150:complications*