case_images: PMC11789542_01
case_images: (a) Prolapsed small bowel. (b) Bulge in the hypogastrium. (c) Contrast-enhanced CT scan of the abdomen showing perforation on the anterior aspect of the upper rectal wall.
case_images: cureus-0017-00000076904-i01.jpg
case_images: PMC11789542_03_cureus-0017-00000076904-i01.jpg
case_images: FIG1
case_images: Imaging was planned, and a contrast-enhanced CT scan of the abdomen and pelvis with rectal and oral contrast was performed, revealing a perforation on the anterior aspect of the upper rectal wall (Figure 1c).
case_images: PMC11789542_02
case_images: (a) Prolapsed small bowel. (b) Bulge in the hypogastrium. (c) Contrast-enhanced CT scan of the abdomen showing perforation on the anterior aspect of the upper rectal wall.
case_images: cureus-0017-00000076904-i01.jpg
case_images: PMC11789542_03_cureus-0017-00000076904-i01.jpg
case_images: FIG1
case_images: Imaging was planned, and a contrast-enhanced CT scan of the abdomen and pelvis with rectal and oral contrast was performed, revealing a perforation on the anterior aspect of the upper rectal wall (Figure 1c).
case_images: PMC11789542_03
case_images: (a) Prolapsed small bowel. (b) Bulge in the hypogastrium. (c) Contrast-enhanced CT scan of the abdomen showing perforation on the anterior aspect of the upper rectal wall.
case_images: cureus-0017-00000076904-i01.jpg
case_images: PMC11789542_03_cureus-0017-00000076904-i01.jpg
case_images: FIG1
case_images: Imaging was planned, and a contrast-enhanced CT scan of the abdomen and pelvis with rectal and oral contrast was performed, revealing a perforation on the anterior aspect of the upper rectal wall (Figure 1c).
case_images: PMC11789542_04
case_images: (a) Small bowel herniating through the rectosigmoid perforation. (b) Rectosigmoid perforation.
case_images: cureus-0017-00000076904-i02.jpg
case_images: PMC11789542_04_cureus-0017-00000076904-i02.jpg
case_images: FIG2
case_images: The sigmoid colon was found to be redundant, measuring 70 cm, and a 5 cm longitudinal perforation was identified on the anterior wall at the rectosigmoid junction extending to the peritoneal fold (Figure 2a, 2b).
case_images: PMC11789542_05
case_images: PMC11789542_06
case_images: Colonic biopsy tissue showing focal ulceration in the colonic mucosal epithelial lining.. The crypt architecture is unremarkable. The lamina propria shows chronic inflammatory infiltrate. The muscularis mucosa appears normal. Dense serositis is also noted. No evidence of granuloma or malignancy.
case_images: cureus-0017-00000076904-i03.jpg
case_images: PMC11789542_06_cureus-0017-00000076904-i03.jpg
case_images: FIG3
case_images: The histopathology report was nonmalignant and indicated chronic nonspecific inflammatory changes (Figure 3).