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 UNUSUAL CASE
Year : 2017  |  Volume : 13  |  Issue : 2  |  Page : 151-153

An adolescent with prolapsed omentum per rectum: Spontaneous rectal perforation managed laparoscopically


1 Department of GI Surgery, Surgical Division, Base Hospital, New Delhi, India
2 Department of Urology, Base Hospital, New Delhi, India

Correspondence Address:
Yogesh Kukreja
Department of Surgery, Surgical Division, Base Hospital, Delhi Cantonment - 110 010, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.195564

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Spontaneous rupture of the rectum is a rare occurrence. A total laparoscopic approach to rectal perforation has only occasionally been reported. We report an unusual case of a young boy who developed a spontaneous rupture of the rectum following a trivial fall. A magnetic resonance imaging revealed a tear in the rectum at the peritoneal reflection with the omentum plugging it. He denied any history of rectal instrumentation or abnormal sexual activity. He had no history of constipation or rectal prolapse. The tear was repaired laparoscopically and a covering loop sigmoid colostomy was added. He made an uneventful post-operative recovery. Spontaneous rupture of the rectum can occur in younger age groups and even in the absence of significant trauma. One needs to diligently bring out a history of rectal trauma. Equally important is to rule out any underlying pathological condition. A laparoscopic approach is feasible, especially in early cases.






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