直腸穿孔を伴わない直腸脱に合併した経肛門的小腸脱出の1例(A case of transanal small bowel evisceration associated with rectal prolapse without rectal perforation)

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Key Points

The aim is to report a rare case of transanal small bowel evisceration without rectal perforation in a patient with rectal prolapse.
Case presentation of a 69-year-old female with rectal prolapse and small bowel evisceration.
Diagnostic imaging using abdominal CT to identify bowel obstruction and characterize evisceration.
Emergency laparotomy performed to resolve small bowel obstruction and evisceration.
Small bowel identified as eviscerated without rectal perforation.
Ischemic changes noted in the small bowel but managed without resection post-indocyanine green evaluation.
Patient had a positive postoperative recovery and was discharged on the 10th day.

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Case report demonstrates small bowel evisceration in a patient with rectal prolapse, suggesting unique clinical insights.

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佑 et al. (2026) studied this question.

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