{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:02:07Z","timestamp":1753891327509,"version":"3.41.2"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Evisceration of the small intestine from the anus is a rare complication following rectal injury. In patients with recurrent rectal prolapse, delayed surgical intervention can lead to rectal wall thinning due to chronic ischemia, increasing the risk of rectal rupture and subsequent intrusion of the small bowel followed by antegrade intussusception. Since Bodie first described this condition in 1827, fewer than one hundred cases have been reported globally. This case involved a 78-year-old male with a 60-year history of untreated rectal prolapse. After a fall, his abdominal pressure increased abruptly, causing rectal rupture and intussusception of the small intestine through the anus. An emergency Hartmann procedure was performed, and the patient recovered well. This case underscores the need for early surgical intervention in chronic rectal prolapse to prevent severe complications. It also highlights the unique mechanism of rectal injury under external force, providing valuable insights for managing similar complex cases.<\/jats:p>","DOI":"10.3389\/fmed.2025.1581332","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T05:23:41Z","timestamp":1748323421000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sudden rupture of recurrent rectal prolapse complicated by small intestine evisceration from anus: a case study"],"prefix":"10.3389","volume":"12","author":[{"given":"Zhesen","family":"Tian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaopeng","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingda","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongxun","family":"Ruan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guojian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1055\/s-0036-1593431","article-title":"Evaluation, diagnosis, and medical management of rectal prolapse.","volume":"30","author":"Cannon","year":"2017","journal-title":"Clin Colon Rectal Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s12893-024-02693-9","article-title":"Levatorplasty\u2019s role in rectal prolapse management for patients with wide pelvic hiatus: A cohort study.","volume":"25","author":"Elbarmelgi","year":"2025","journal-title":"BMC Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1007\/s11605-013-2427-7","article-title":"Rectal prolapse: An overview of clinical features, diagnosis, and patient-specific management strategies.","volume":"18","author":"Bordeianou","year":"2014","journal-title":"J Gastrointest Surg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s12262-016-1562-2","article-title":"Emergency perineal rectosigmoidectomy for gangrenous rectal prolapse: A single-centre experience with review of literature.","volume":"79","author":"Borgaonkar","year":"2017","journal-title":"Indian J Surg."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1235","DOI":"10.1097\/MS9.0000000000000494","article-title":"Rectal prolapse as a manifestation of inflammatory bowel disease with celiac disease in a 2-year-old male: A rare case report.","volume":"85","author":"Martini","year":"2023","journal-title":"Ann Med Surg (Lond)."},{"key":"B6","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/BF03220010","article-title":"Pharmacokinetics of endogenous substances: Some problems and some solutions.","volume":"18","author":"Marzo","year":"1993","journal-title":"Eur J Drug Metab Pharmacokinet."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12893-018-0463-7","article-title":"Altemeier\u2019s procedure for complete rectal prolapse; 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