An Unusual Case of Ante-mortem Prolapse of Abdominal Viscera through Anus

Expulsion of intestine outside the body is very rare phenomenon. In living person spontaneous passage of a large bowel cast caused by acute ischemic injury is an extraordinary complication of mesenteric ischemia. A literature search revealed few cases in which a short segment ranging between 25 cm of recto-sigmoid and 96 cm of descending colon down to the upper rectum was passed per anum.

However, in an interesting case a corpse of 61years hospitalized female was referred to our tertiary care institute for autopsy without any significant history. The organs including small and large intestines in parts, kidneys, internal genital organs and fatty tissues were carried in different bag along with dead body which was allegedly expelled out during life. Meticulous autopsy was performed along with all possible necessary samples for laboratory and histo-pathological analysis. Case was also discussed for all probabilities and possibilities with experts of different faculties including Surgeons, Plastic surgeons, Gastroenterologists, Pathologists and police officials, medical & paramedical staff of concerned hospital along with detailed examination of previous medical history, investigation & treatment record papers. The exact conclusion and possibility of fatality is still awaited for concluding research.