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Nigerian Journal of Surgical Research
Surgical Sciences Research Society, Zaria and Association of Surgeons of Nigeria
ISSN: 1595-1103
Vol. 8, No. 3-4, 2006, pp. 182-184
Bioline Code: sr06046
Full paper language: English
Document type: Case Report
Document available free of charge

Nigerian Journal of Surgical Research, Vol. 8, No. 3-4, 2006, pp. 182-184

 en Transanal evisceration of the small bowel from blunt abdominal trauma
Adisa, A.C.; Onyegbule, C. & Mbanaso, A.U.


Evisceration of the small intestine through the anus has been reported to occur spontaneously and in association with trauma. Small bowel evisceration through a rectal injury caused by blunt abdominal trauma has been documented in association with a variety of injury mechanisms.

We report a case of a 19 year old boy who sustained blunt injury to the thigh and pelvic region with a traumatic evisceration of the small bowel through the anus.

There were no apparent abdominal injuries on examination. Unlike most cases reported in the medical literature, there was extensive peritoneal soiling with fecal matter as a result of multiple perforations of the small bowel. The disparity between the physical findings at initial examination and the extensive intra-peritoneal injuries seen at laparatomy calls for a high index of suspicion in such cases.

© Copyright 2006 - Nigerian Journal of Surgical Research

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