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Shabsigh, A., Korets, R., Vora, K.C., Brooks, C.M., Cronin, A.M., Savage, C., Ganesh, R., Bochner, B.H., Dalbagni, G., Herr, H.W. and Donat, S.M. “Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology.” European Urology. 55(1). 164-174. Jan 2009.

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Article

An Unusual Case of Bowel Evisceration after Sneezing

1Department of Emergency Medicine, University of Florida, Gainesville, FL, USA


American Journal of Medical Case Reports. 2024, Vol. 12 No. 6, 85-86
DOI: 10.12691/ajmcr-12-6-1
Copyright © 2024 Science and Education Publishing

Cite this paper:
Jason Jones, Alicia Buck, Jeffrey Adams, Anthony Meyer. An Unusual Case of Bowel Evisceration after Sneezing. American Journal of Medical Case Reports. 2024; 12(6):85-86. doi: 10.12691/ajmcr-12-6-1.

Correspondence to: Jason  Jones, Department of Emergency Medicine, University of Florida, Gainesville, FL, USA. Email: jasonjones@ufl.edu

Abstract

Evisceration is a rare complication of abdominal surgery. This case report describes small bowel evisceration through a healed cystectomy surgical site after sneezing and coughing. Perspectives from the emergency responders, the patient, and his surgeons are discussed. When evisceration occurs, patients may be unsure of how to protect their exposed intestines. First medical responders may experience anxiety with initial management due to a distressing presentation and unfamiliarity with the condition. Surgeons must carefully protect the bowel, reduce it into the abdomen, inspect it for injury, prevent infection, and repair the dehisced wound

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