Transanal Evisceration in Rectal Perforation: Typical Presentation of a Rare Condition

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for researchers?

A: Very Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Excellent

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very Good

Comments: The Discussion states that rectal rupture with bowel evisceration is a rare and uncommon surgical emergency with less than 100 cases reported in literature. It presents the factors associated with a high incidence of this event. Relevant literature has been cited in the Discussion section. The Discussion section establishes that the history of rectal prolapse favored the onset of transanal evisceration in the reported case. The study concludes that early surgical treatment with resuscitation and urgent operation resulted in a favorable outcome in the reported case.

Literature

Q: Does the author utilize relevant literature?

A: Very Good

Author's knowledge

Q: What is the level of author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Very Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: This report presents the rare case of transanal evisceration in a 65-year-old woman who presented with mild lower abdominal pain and transanal prolapse of the bowel. The patient had a history of rectal prolapse, which played a major role in the etiopathogenesis of the event. Rectal resection and Hartmann’s procedure with terminal colostomy were performed, without complications. Rectal perforation with consequent transanal evisceration of the small bowel is a rare and uncommon event. The study concludes that early recognition of this condition along with prompt surgical intervention may help reduce morbidity and mortality rates.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team