{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:50:49Z","timestamp":1771887049917,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,19]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Spontaneous rectal perforation with transanal small intestinal evisceration is a rare condition. We report the case of an 83-year-old woman with a rectal perforation and transanal prolapse of small intestine through the rectal opening who was treated with transanal reposition under general anaesthesia and open Hartmann\u2019s procedure. As part of the Hartmann\u2019s procedure, segmental resection of the perforated colon was performed. This case illustrates that spontaneous rectal perforation is a severe surgical emergency, which needs immediate reposition and resection of the perforated rectum.<\/jats:p>","DOI":"10.1136\/bcr-2021-246965","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T11:32:25Z","timestamp":1644406345000},"page":"e246965","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Rare case of an 83-year-old woman with transrectal small bowel evisceration caused by spontaneous rectal perforation"],"prefix":"10.1136","volume":"15","author":[{"given":"Benjamin","family":"Wiesler","sequence":"first","affiliation":[{"name":"Center for Gastrointestinal and Liver Diseases, Clarunis, University Hospital of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja Simone","family":"Linke","sequence":"additional","affiliation":[{"name":"Center for Gastrointestinal and Liver Diseases, Clarunis, University Hospital of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarik","family":"Delko","sequence":"additional","affiliation":[{"name":"Center for Gastrointestinal and Liver Diseases, Clarunis, University Hospital of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"2025082703311350000_15.2.e246965.1","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1308\/rcsann.2020.0199","article-title":"Transanal evisceration of small bowel in two patients with chronic rectal prolapse: case presentation and literature review","volume":"103","author":"Hajiev","year":"2021","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082703311350000_15.2.e246965.2","first-page":"628","article-title":"Small bowel prolapse from anus: atypical presentation of rectal perforation","volume":"25","author":"Akbulut","year":"2019","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2025082703311350000_15.2.e246965.3","doi-asserted-by":"crossref","first-page":"246","DOI":"10.5144\/0256-4947.2000.246","article-title":"Spontaneous rupture of the rectum with evisceration of omentum through the anus: a case report and review of the literature","volume":"20","author":"Al-Abkari","year":"2000","journal-title":"Ann Saudi Med"},{"key":"2025082703311350000_15.2.e246965.4","doi-asserted-by":"crossref","first-page":"596","DOI":"10.4297\/najms.2010.2596","article-title":"Spontaneous perforation of rectum with evisceration of small bowel simulating intussusception","volume":"2","author":"Bhat","year":"2010","journal-title":"N Am J Med Sci"},{"key":"2025082703311350000_15.2.e246965.5","doi-asserted-by":"crossref","first-page":"rjaa582","DOI":"10.1093\/jscr\/rjaa582","article-title":"Spontaneous trans-anal evisceration of small bowel: a case report","volume":"2021","author":"Lasheen","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2025082703311350000_15.2.e246965.6","doi-asserted-by":"crossref","unstructured":"Dickinson P , Gilmour J . Spontaneous rupture of the distal large bowel. 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