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Rare case of an 83-year-old woman with transrectal small bowel evisceration caused by spontaneous rectal perforation
  1. Benjamin Wiesler,
  2. Katja Simone Linke and
  3. Tarik Delko
  1. Center for Gastrointestinal and Liver Diseases, Clarunis, University Hospital of Basel, Basel, Switzerland
  1. Correspondence to Dr Tarik Delko; Tarik.Delko{at}


Spontaneous rectal perforation with transanal small intestinal evisceration is a rare condition. We report the case of an 83-year-old woman with a rectal perforation and transanal prolapse of small intestine through the rectal opening who was treated with transanal reposition under general anaesthesia and open Hartmann’s procedure. As part of the Hartmann’s procedure, segmental resection of the perforated colon was performed. This case illustrates that spontaneous rectal perforation is a severe surgical emergency, which needs immediate reposition and resection of the perforated rectum.

  • gastrointestinal surgery
  • general surgery

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  • Contributors BW wrote the manuscript. KSL and TD functioned as contributing authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.