{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:50:51Z","timestamp":1771887051891,"version":"3.50.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Trans-anal evisceration of small bowel is a rare surgical presentation. The first case ever reported was in 1827. The exact mechanism of how this develops remains poorly understood.<\/jats:p>\n               <jats:p>A 70-year-old lady presented with multiple small bowel loops eviscerated through the anus. Abdominal exploration was done. The bowel was carefully reduced. There was a longitudinal defect on the anterior wall of the rectum at the recto-sigmoid junction and a large mesenteric defect and thrombosed mesenteric vessels compromising blood supply to part of the bowel. Resection of 50\u00a0cm of ileum, jejunostomy and a mucous fistula were performed.<\/jats:p>\n               <jats:p>Several preexisting pathologies such as rectal prolapse can result in thinning out of the wall of the rectum. That combined with increased intra-abdominal pressure can explain trans-anal evisceration of the bowel. This condition is managed by surgical intervention. The operation will depend on the extent of viability, contamination and patient\u2019s general condition.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa582","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T20:36:31Z","timestamp":1608582991000},"source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous trans-anal evisceration of small bowel: a case report"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7918-947X","authenticated-orcid":false,"given":"Omar","family":"Lasheen","sequence":"first","affiliation":[{"name":"Department of General and Colorectal Surgery, Royal Oldham Hospital Pennine Acute Trust, Oldham OL1 2JH, UK"},{"name":"Department of General Surgery, Cairo University Hospitals, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,3,18]]},"reference":[{"key":"2021070811372523100_ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1308\/003588413X13629960047632","article-title":"Spontaneous transanal evisceration","volume":"95","author":"Walton","year":"2013","journal-title":"Ann R Coll Surg Engl"},{"key":"2021070811372523100_ref2","first-page":"10","article-title":"Small bowel evisceration through the anus-report of a case and review of literature","author":"Berwin","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2021070811372523100_ref3","first-page":"2","article-title":"Spontaneous perforation of rectum with evisceration of small bowel simulating intussusception","volume-title":"North Am J Med Sci","author":"Bhat","year":"2010"},{"key":"2021070811372523100_ref4","first-page":"428","article-title":"Evisceration of small bowel through rectum: a case report","volume":"14","author":"Gheewala","year":"2019","journal-title":"Maedica (Buchar)"},{"key":"2021070811372523100_ref5","first-page":"183","article-title":"Transanal evisceration of small bowel-a rare surgical emergency","volume-title":"JCDR","author":"Narayana","year":"2014"},{"key":"2021070811372523100_ref6","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/01.sle.0000166989.59356.4e","article-title":"Successful laparoscopic repair of spontaneous rectosigmoid rupture with an acute transanal small bowel evisceration","volume":"15","author":"Antony","year":"2005","journal-title":"Surg Laparosc Endosc Percutan Tech"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/3\/rjaa582\/36627726\/rjaa582.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/3\/rjaa582\/36627726\/rjaa582.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T20:25:49Z","timestamp":1625775949000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa582\/6175331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa582","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,3]]},"published":{"date-parts":[[2021,3,1]]},"article-number":"rjaa582"}}