{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:19:54Z","timestamp":1787847594427,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Although motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiring laparotomy and necessary surgical procedure. We report case of a 3-year-old boy, victim of run-over MVA accident, presenting with bilateral fracture shaft femur, fracture of the left humerus, and transanal small bowel evisceration. About 30\u201340 cm long, gangrenous, small bowel loop was hanging outside the anal canal. Two consecutive surgeries were performed to manage this unusual and complex case with an excellent outcome. This report is presented for an extremely rare presentation of MVA injury in a child.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_124_20","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T10:21:43Z","timestamp":1626085303000},"page":"253-255","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Transanal Small Bowel Evisceration in a 3-Year-Old Victim of Motor Vehicle Accident"],"prefix":"10.4103","volume":"26","author":[{"given":"Minakshi","family":"Bhosale","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameya","family":"Sangle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh","family":"Bhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Dambal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240905","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1097\/00005373-200105000-00028","article-title":"Transanal small bowel evisceration from abdominal crush injury: Case report and review of the literature","volume":"50","author":"Rechner","year":"2001","journal-title":"J Trauma"},{"key":"R2-9-20240905","first-page":"50","article-title":"Transanal evisceration of the small intestine in a child secondary to blunt trauma to the abdomen: Report of a case","volume":"10","author":"B\u00e2","year":"2011","journal-title":"Pan Afr Med J"},{"key":"R3-9-20240905","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1007\/s00383-010-2817-9","article-title":"A rare presentation of crush injury: Transanal small bowel evisceration. Case report and review of the literature","volume":"27","author":"Corduk","year":"2011","journal-title":"Pediatr Surg Int"},{"key":"R4-9-20240905","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1016\/j.jpedsurg.2012.07.058","article-title":"Transrectal small bowel evisceration after abdominal crush injury","volume":"47","author":"Gelas","year":"2012","journal-title":"J Pediatr Surg"},{"key":"R5-9-20240905","doi-asserted-by":"crossref","first-page":"231","DOI":"10.4103\/0971-9261.40844","article-title":"Transanal evisceration of bowel loops due to blunt trauma","volume":"12","author":"Quraishi","year":"2007","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R6-9-20240905","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4236\/ss.2018.92008","article-title":"Strangulated transanal evisceration of small bowel complicating rectal prolapse of the child: An observation of the university hospital center of Parakou, Benin","volume":"9","author":"Hodonou","year":"2018","journal-title":"Surg Sci"},{"key":"R7-9-20240905","first-page":"286","article-title":"Rectal perforation and evisceration of the small intestine: A rare injury in blunt trauma of the abdomen","volume":"66","author":"Roy","year":"2009","journal-title":"J Trauma"},{"key":"R8-9-20240905","first-page":"182","article-title":"Transanal evisceration of the small bowel from blunt abdominal trauma","volume":"8","author":"Adisa","year":"2006","journal-title":"Niger J Surg Res"},{"key":"R9-9-20240905","doi-asserted-by":"crossref","first-page":"199","DOI":"10.4174\/jkss.2009.76.3.199","article-title":"Transanal small bowel evisceration due to traumatic rectal perforation","volume":"76","author":"Kim","year":"2009","journal-title":"J Korean Surg Soc"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_124_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:23:15Z","timestamp":1787844195000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_124_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_124_20","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}