Uncommon clinical presentations of large intestine injury—Report of two cases

• 作者: Jacek Karoń Karolina Horbacka Mariusz Stawiński Mateusz Michalski Piotr Krokowicz
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: RECTAL TEAR TRANSANAL Small BOWEL EVISCERATION Hartmann Procedure
• 年，卷（期）: 2014,（2）
• 页码范围: 76-78
• 页数: 3页
• 分类号: R73

摘要

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.