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Exploratory laparotomy demonstrated an anterior rectal defect. The defect was repaired primarily, and small bowel resection was performed. This case highlights the diagnostic difficulties that clinicians may face due to the rarity of this condition, particularly in a well-appearing patient, and underscores the importance of prompt definitive surgical management.<\/jats:p>","DOI":"10.1093\/jscr\/rjag600","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T16:46:46Z","timestamp":1784220406000},"source":"Crossref","is-referenced-by-count":0,"title":["Trans-anal small bowel evisceration through a perforation of the rectum: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6151-576X","authenticated-orcid":false,"given":"Elynn","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Surgery, Alfred Health , Melbourne, VIC ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apoorva","family":"Saboo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alfred Health , Melbourne, VIC ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Loh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alfred Health , Melbourne, VIC ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ee Jun","family":"Ban","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alfred Health , Melbourne, VIC ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Carne","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alfred Health , Melbourne, VIC ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"2026071612464024200_ref1","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1016\/S0140-6736(02)81477-5","article-title":"Case of a singular variety of 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