“…A thorough search of literature did not reveal any case of spontaneous evisceration in the pediatric age group. The precipitating event in most of these cases was increased abdominal pressure as a result of defecation, blunt trauma, emesis, and others [2,3]. The other reported causes include forcible reduction of rectal prolapse, uterine prolapse, incision of thrombosed piles, and strangulated ileum with a very low pouch of Douglas, pushing anterior rectal wall and causing its impending perforation and subsequent prolapse [1].…”