An Unusual Case of Bowel Evisceration after Sneezing

Jason Jones^1, , Alicia Buck¹, Jeffrey Adams¹ and Anthony Meyer¹

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

Cite this paper:
Jason Jones, Alicia Buck, Jeffrey Adams and 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

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

Keywords:
Bowel evisceration cystectomy complication emergency medical services sneezing coughing

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