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MÆDICA - a Journal of Clinical Medicine | Vol. 14, No. 4, 2019
ISSN 1841-9038  |  e-ISSN 2069-6116
ISSN-L 1841-9038
CNCSIS - CMR - B+

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Plagiatul – in actualitate

Tema plagiatului este tot mai mult discutata in ultima vreme. Aparitia unor programe performante de cautare si identificare a similitudinilor intre texte [...]

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Evisceration of Small Bowel Through Rectum: A Case Report

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ABSTRACT

Evisceration of small bowel through the rectum is extremely uncommon, chronic long standing prolapse and/or increased intra-abdominal pressure being the most frequent association. Management is in line of any acute abdomen with resuscitation beginning as soon as patient arrives with covering the bowel with moist hot packs. The management of such patients depends on the general state of each individual patient. In extremely frail patients, palliative care should be instituted. Laparotomy and Hartmann’s procedure is the safest option. Here we report a case of an elderly female with full-thickness chronic rectal prolapse who presented acutely at the Emergency Department with small bowel eviscerating through the anus following it herniating through the rectum.
Keywords: chronic rectal prolapse, rectal perforation, small bowel evisceration, palliative care

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