PMID- 34385770 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210814 IS - 0971-9261 (Print) IS - 1998-3891 (Electronic) IS - 0971-9261 (Linking) VI - 26 IP - 4 DP - 2021 Jul-Aug TI - Transanal Small Bowel Evisceration in a 3-Year-Old Victim of Motor Vehicle Accident. PG - 253-255 LID - 10.4103/jiaps.JIAPS_124_20 [doi] AB - Although motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiring laparotomy and necessary surgical procedure. We report case of a 3-year-old boy, victim of run-over MVA accident, presenting with bilateral fracture shaft femur, fracture of the left humerus, and transanal small bowel evisceration. About 30-40 cm long, gangrenous, small bowel loop was hanging outside the anal canal. Two consecutive surgeries were performed to manage this unusual and complex case with an excellent outcome. This report is presented for an extremely rare presentation of MVA injury in a child. CI - Copyright: (c) 2021 Journal of Indian Association of Pediatric Surgeons. FAU - Bhosale, Minakshi AU - Bhosale M AD - Department of Pediatric Surgery, B J Government Medical College, Pune, Maharashtra, India. FAU - Sangle, Ameya AU - Sangle A AD - Department of Pediatric Surgery, B J Government Medical College, Pune, Maharashtra, India. FAU - Bhat, Ganesh AU - Bhat G AD - Department of Pediatric Surgery, B J Government Medical College, Pune, Maharashtra, India. FAU - Dambal, Praveen AU - Dambal P AD - Department of Pediatric Surgery, B J Government Medical College, Pune, Maharashtra, India. LA - eng PT - Case Reports DEP - 20210712 PL - India TA - J Indian Assoc Pediatr Surg JT - Journal of Indian Association of Pediatric Surgeons JID - 101179870 PMC - PMC8323572 OTO - NOTNLM OT - Child OT - motor vehicle accident injuries OT - rectal perforation OT - strangulation OT - transanal small bowel evisceration COIS- There are no conflicts of interest. EDAT- 2021/08/14 06:00 MHDA- 2021/08/14 06:01 PMCR- 2021/07/01 CRDT- 2021/08/13 07:04 PHST- 2020/05/02 00:00 [received] PHST- 2020/06/01 00:00 [revised] PHST- 2020/08/23 00:00 [accepted] PHST- 2021/08/13 07:04 [entrez] PHST- 2021/08/14 06:00 [pubmed] PHST- 2021/08/14 06:01 [medline] PHST- 2021/07/01 00:00 [pmc-release] AID - JIAPS-26-253 [pii] AID - 10.4103/jiaps.JIAPS_124_20 [doi] PST - ppublish SO - J Indian Assoc Pediatr Surg. 2021 Jul-Aug;26(4):253-255. doi: 10.4103/jiaps.JIAPS_124_20. Epub 2021 Jul 12.