Spontaneous transanal evisceration of the small bowel through perforation of the sigmoid colon: a case report and new surgical approach

Immediate surgical intervention is the mainstay of treatment in transanal evisceration of the small bowel. The choice of surgical approach depends on intraoperative findings. A staged surgical approach including second or even third look surgeries may improve small bowel preservation and improve clinical outcome.

Authors

Christoph Schwarz (ORCID: https://orcid.org/0000-0002-7676-2779)
Felix Harpain (ORCID: https://orcid.org/0000-0001-6589-5712)
Ulla Klaiber (ORCID: https://orcid.org/0000-0002-9287-1174)
Michael Bergmann
Lindsay Hargitai

Institutions

Medical University of Vienna (AT)

Publication Details

Journal: International Journal of Surgery Case Reports
Published: 2026-02-23
DOI: https://doi.org/10.1097/rc9.0000000000000281
Primary Topic: Diverticular Disease and Complications
Type: article
Field-Weighted Citation Impact: 0.00

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article

Spontaneous transanal evisceration of the small bowel through perforation of the sigmoid colon: a case report and new surgical approach

Christoph Schwarz, Felix Harpain, Ulla Klaiber, Michael Bergmann et al.

Feb 23, 2026

International Journal of Surgery Case Reports

Diverticular Disease and Complications

article

Spontaneous transanal evisceration of the small bowel through perforation of the sigmoid colon: a case report and new surgical approach

Christoph Schwarz, Felix Harpain, Ulla Klaiber, Michael Bergmann, Lindsay Hargitai

February 23, 2026article en

Abstract

Immediate surgical intervention is the mainstay of treatment in transanal evisceration of the small bowel. The choice of surgical approach depends on intraoperative findings. A staged surgical approach including second or even third look surgeries may improve small bowel preservation and improve clinical outcome.

International Journal of Surgery Case ReportsVol. 138(3)

Medical University of Vienna (AT)

Good health and well-being

Openalex Percentile: Top 46%

Diverticular Disease and Complications

DOI Open Access PDF OpenAlex

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