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We describe a young woman with bulimia nervosa and irritable bowel syndrome who used rectal purging as a method of counteracting the effects of her binge eating and who underwent two corrective surgeries for rectal prolapse in a 15\u2010month interval. Further research into the relationship between eating disorders, rectal purging, and gastrointestinal dysfunction is called for. \u00a9 2011 by Wiley Periodicals, Inc. 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