TITLE:
Uncommon clinical presentations of large intestine injury—Report of two cases
AUTHORS:
Jacek Karoń, Karolina Horbacka, Mariusz Stawiński, Mateusz Michalski, Piotr Krokowicz
KEYWORDS:
Rectal Tear; Transanal Small Bowel Evisceration; Hartmann Procedure
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.2,
February
8,
2014
ABSTRACT: We present an unusual
clinical manifestation of a rectal rupture discussing two cases of female
patients hospitalized and operated on urgently. The extraordinary presentations
during physical examination, which eventually provided a solid indication for
immediate operation included sigmoid colon prolapse in one case and evisceration
of small intestine through the anus in the other. In both patients, Hartmann
procedure was successfully performed resulting in relatively fast recovery
despite an elderly age and hospital discharge on the 10th postoperative
day. Although sigmoid colon or ileal prolapse is not commonly observed in bizarre medical condition, they may be the
first symptoms of rectal/rectosigmoid injuries as a result of underlying
colon disorder such as diverticular disease, spontaneous rupture or
self-injury.