Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Prolapsed Rectal Perforation with Transanal Small Bowel Evisceration Caused by the Nozzle of a Bidet Toilet Seat
Yuya AGATUSMANobuhiko NAKAGAWABin SATOAkiharu ISHIYAMAToshiaki MORIKazuki YOKOI
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2017 Volume 78 Issue 3 Pages 548-551

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Abstract
A 72-year-old woman with a history of rectal prolapse came to our hospital due to sudden small bowel evisceration through the anus after using a bidet toilet seat. On physical examination, small bowel evisceration through the anus was apparent. We diagnosed traumatic rectal perforation with transanal small bowel evisceration and performed a low anterior rectal resection. She was discharged from our hospital on the 10th postoperative day.
Reports have suggested that cases of small bowel evisceration through the anus had a history of rectal or uterine prolapse. Furthermore, the small bowel evisceration was thought to be the result of rectal wall laceration by the nozzle of the bidet toilet seat. This case is rare, but we should alert patients with rectal prolapse to the dangers of using a bidet toilet seat.
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© 2017 Japan Surgical Association
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