milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университетmilmed-893Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE FROM PRACTICEСпонтанный разрыв сигмовидной кишки с выпадением тонкойSpontaneous git with a thin lossБойбаД. С.BoybaD. S.КлюйкоД. А.KluykoD. A.ЖидковА. С.ZhidkovA. S.МахахейА. В.MahakheyA. V.ЛяшкоО. И.LyashkoO. I.ЖидковС. А.ZhidkovS. A.МельниковГ. Н.MelnikovG. N.УО «Белорусский государственный медицинский университет»BelarusУЗ «2 городская клиническая больница» г. МинскаBelarus20202910202604145149Copyright © Бойба Д.С., Клюйко Д.А., Жидков А.С., Махахей А.В., Ляшко О.И., Жидков С.А., Мельников Г.Н., 20262026Бойба Д.С., Клюйко Д.А., Жидков А.С., Махахей А.В., Ляшко О.И., Жидков С.А., Мельников Г.Н.Boyba D.S., Kluyko D.A., Zhidkov A.S., Mahakhey A.V., Lyashko O.I., Zhidkov S.A., Melnikov G.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/893

В статье представлен случай успешного лечения спонтанного разрыва сигмовидной кишки с выпадением петель тонкой кишки, произошедшего при акте дефекации после длительного натуживания у женщины 78 лет. Выполнено вправление выпавшей тонкой кишки, ушивание разрыва сигмовидной кишки, наложение петлевой сигмостомы, санация и дренирование брюшной полости. Повреждение анального сфинктера не отмечено. Послеоперационный период протекал без особенностей. Выписана из стационара на 14 сутки.

The article presents the case of sigmoid colon spontaneous rupture with prolapse of the loops of the small intestine successful treatment that occurred during an act of defecation in a 78-year-old woman. The reduction of the prolapsed small intestine, suturing of a sigmoid colon rupture, application of a loop sigmoid, reorganization and drainage of the abdominal cavity were performed. Damage to the anal sphincter was not detected. The postoperative period was uneventful. Discharged from the hospital on the 14th day.

сигмовидная кишкаразрыввыпадение петель кишечникаsigmoid colonruptureintestine loops prolapseReferencesAl Akbari H. A. Spontaneous rupture of rectum with evisceration of omentum through anus. A case report and review of literature / H. A. Al Akbari. – Ann. Saudi Med. – 2001. – № 3–4. – P. 246–247.Al Akbari H. A. Spontaneous rupture of rectum with evisceration of omentum through anus. A case report and review of literature / H. A. Al Akbari. – Ann. Saudi Med. – 2001. – № 3–4. – P. 246–247.Ellul J. P.M. Spontaneous perforation of rectum with evisceration of small intestine through the anus / J. P. M. Ellul, S. Mannion, G. A. Khoury. – Eur. J. Surg. –1995. – № 16. – Р. 925–927.Ellul J. P.M. Spontaneous perforation of rectum with evisceration of small intestine through the anus / J. P. M. Ellul, S. Mannion, G. A. Khoury. – Eur. J. Surg. –1995. – № 16. – Р. 925–927.Goligher J. C. Injuries of the rectum and colon / J. C. Goligher, H. L. Duthie, H. Nixon. – Surgery of the anus rectum and Colon. – London: Bailliere Tindall. – 1984. – Р. 1133–1134.Goligher J. C. Injuries of the rectum and colon / J. C. Goligher, H. L. Duthie, H. Nixon. – Surgery of the anus rectum and Colon. – London: Bailliere Tindall. – 1984. – Р. 1133–1134.Spontaneous extra-peritoneal rupture of rectum / Peenopoulos V. [et al.]. – Ann Gastroenterol. – 2002. – 15(2). – P. 186–189.Spontaneous extra-peritoneal rupture of rectum / Peenopoulos V. [et al.]. – Ann Gastroenterol. – 2002. – 15(2). – P. 186–189.Spontaneous rupture of the rectosigmoid colon with small bowel evisceration through the anus / Czerniak A. [et al.]. – Dis Colon Rectum. – 1983. – P. 821–822.Spontaneous rupture of the rectosigmoid colon with small bowel evisceration through the anus / Czerniak A. [et al.]. – Dis Colon Rectum. – 1983. – P. 821–822.Vogel De P. L. Rupture of rectum with evisceration of small intestine through the anus: A complication of advanced rectal prolapse / P. L. Vogel De, P. E. Kamstra. – Eur J Surg. – 1994. – 160. – Р. 187–188.Vogel De P. L. Rupture of rectum with evisceration of small intestine through the anus: A complication of advanced rectal prolapse / P. L. Vogel De, P. E. Kamstra. – Eur J Surg. – 1994. – 160. – Р. 187–188.Worbleski D. E. Spontaneous rupture of distal colon with evisceration of small intestine through anus: report of two cases and review of literature / D. E. Worbleski, T. H. Dailey. – Dis Colon Rectum. – 1979. – 22. – Р. 569–572.Worbleski D. E. Spontaneous rupture of distal colon with evisceration of small intestine through anus: report of two cases and review of literature / D. E. Worbleski, T. H. Dailey. – Dis Colon Rectum. – 1979. – 22. – Р. 569–572.

The authors declare that there are no conflicts of interest present.