Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident

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 requiri...

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Main Authors: Minakshi Bhosale, Ameya Sangle, Ganesh Bhat, Praveen Dambal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosale
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author Minakshi Bhosale
Ameya Sangle
Ganesh Bhat
Praveen Dambal
author_facet Minakshi Bhosale
Ameya Sangle
Ganesh Bhat
Praveen Dambal
author_sort Minakshi Bhosale
collection DOAJ
description 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 30–40 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.
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spelling doaj.art-eb406229f7ee498ca08b78b33a43a96f2022-12-21T20:04:49ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912021-01-0126425325510.4103/jiaps.JIAPS_124_20Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accidentMinakshi BhosaleAmeya SangleGanesh BhatPraveen DambalAlthough 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 30–40 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.http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosalechildmotor vehicle accident injuriesrectal perforationstrangulationtransanal small bowel evisceration
spellingShingle Minakshi Bhosale
Ameya Sangle
Ganesh Bhat
Praveen Dambal
Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
Journal of Indian Association of Pediatric Surgeons
child
motor vehicle accident injuries
rectal perforation
strangulation
transanal small bowel evisceration
title Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
title_full Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
title_fullStr Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
title_full_unstemmed Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
title_short Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
title_sort transanal small bowel evisceration in a 3 year old victim of motor vehicle accident
topic child
motor vehicle accident injuries
rectal perforation
strangulation
transanal small bowel evisceration
url http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosale
work_keys_str_mv AT minakshibhosale transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident
AT ameyasangle transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident
AT ganeshbhat transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident
AT praveendambal transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident