Abstract
We report a case of rectal perforation with transanal colon prolapse.
An 87-year-old woman was admitted for prolapse of the colon through the anus. Under a diagnosis of perforation of the rectum, the patient underwent emergency surgery. There was no contamination in the peritoneal cavity on laparotomy. The torn region was at the rectosigmoid located on the oral side from the peritoneal reflection and sigmoid colon prolaps to the anus occurred through this torn site. We conducted Hartmann's operation. Her postoperative course was good and she was discharged after rehabilitation.