Thiersch repair of a spontaneous rupture of rectal prolapse with evisceration of small bowel through anus – a case report

Shoab, SS; Saravanan, Balakrishnan; Neminathan, S; Garsaa, T

doi:10.1308/147870807x160362

Cited by 20 publications

(10 citation statements)

References 4 publications

(1 reference statement)

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“…The lesion of large bowel can be either repaired with sutures or resected depending on patient's condition, size of perforation, blood supply, presence of peritoneal contamination or underlying intestinal disease [5,6]. Bringing out proximal ostomy is reasonable in case of any doubts concerning the suture tightness and strength.…”

Section: Discussionmentioning

confidence: 99%

Uncommon clinical presentations of large intestine injury—Report of two cases

Karoń¹,

Horbacka²,

Stawiński³

et al. 2014

CRCM

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We present an unusual clinical manifestation of a rectal rupture discussing two cases of female patients hospitalized and operated on urgently. The extraordinary presentations during physical examination, which eventually provided a solid indication for immediate operation included sigmoid colon prolapse in one case and evisceration of small intestine through the anus in the other. In both patients, Hartmann procedure was successfully performed resulting in relatively fast recovery despite an elderly age and hospital discharge on the 10 th postoperative day. Although sigmoid colon or ileal prolapse is not commonly observed in bizarre medical condition, they may be the first symptoms of rectal/rectosigmoid injuries as a result of underlying colon disorder such as diverticular disease, spontaneous rupture or self-injury.

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Section: Discussionmentioning

confidence: 99%

Uncommon clinical presentations of large intestine injury—Report of two cases

Karoń¹,

Horbacka²,

Stawiński³

et al. 2014

CRCM

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“…The therapy is effective to mechanically prevent rectum prolapsing, but it does not treat the underlying disorder. The purpose of this procedure is to keep the rectum from prolapsing by restricting the size of the anal lumen [20] .…”

Section: Methodsmentioning

confidence: 99%

Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience

Žganjer¹

2008

WJG

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“…Большинство авторов [17,26] сходятся во мнении, что операцию следует начинать с лапаротомии, однако M. Antony и M. Memon [6] в 2005 г. опубликовали успешный опыт применения лапароскопической техники в случае, подобном нашему (однако без некроза кишки). Считается, что некротизированная кишка должна быть резецирована из промежностного доступа [12,24,27].…”

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“…По данным литературы, после репозиции тонкой кишки дефект стенки прямой кишки чаще ушивают трансанально, а затем при наличии ректального пролапса большинство авторов рекомендуют резекцию прямой кишки с наложением анастомоза (операцию Альтемаера) и превентивной стомой [8,17]. Другие авторы описывают операцию Тирша с превентивной сигмостомией как более щадящую у больных с высоким риском развития осложнений [26].…”

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