INTRODUCTION Small bowel evisceration through spontaneous perforation of the rectum is an extremely rare condition in which the small bowel herniates mostly through a defect in the anterior rectal wall. CASE PRESENTATION We present the case of a 25-year-old otherwise healthy lady who denied any history of rectal prolapse or trauma. DISCUSSION Small bowel evisceration through rectum is a rare surgical emergency with a mortality rate as high as 42.3%. Apart from trauma, chronic constipation, rectal prolapse, presence of a deep Douglas pouch and a sliding hernia formed by the cul-de-sac have also been described as etiological factors. CONCLUSION It is extremely difficult to find out the actual cause of "spontaneous" small bowel evisceration, especially in young adults.
Evisceration of small bowel through spontaneous perforation of rectum: Case report and review of literature.