Eviscerated bowel through the anus: managed by primary repair of rectosigmoid perforation in a young male

Case Presentation A 40-year-old male presented to the surgical emergency with his bowel loops protruding through the anus for the past 8 hours. On arrival, the patient had tachycardia but was normotensive. He gave a history of lower abdominal pain with protrusion of a mass through the anus during straining at defecation. Past history revealed grade 2 rectal prolapse for the past 2 years for which he has not sought medical advice. Abdominal examination revealed lower abdominal tenderness and per rectal examination showed approximately 4 feet of small bowel protruding through the anus. Bowel loops had a dusky discolouration but no signs of overt gangrene.