A Case of Spontaneous Rupture of the Rectum with Prolapse of the Small Intestine Through the Anus

Abstract

We treated a case of spontaneous rupture of the rectum with transanal intestinal prolapse. A 88-yearold woman was admitted for prolapse of the intestine through the anus. Abdominal CT scan showed penetration of the intestine into the rectum. Under a diagnosis of perforation of the rectum, the patient underwent an emergency surgery. There was no contamination in the peritoneal cavity on laparotomy. After repositioning the intestinal tract in the peritoneal cavity, we conducted simple closure of a rupture in the ventral portion of the rectosigmoid colon. No inflammatory change was observed around the rupture. The patient had an uneventful postoperative course and was discharged on the 15th postoperative day.