scholarly journals Prank gone wrong, transverse colon perforation due to air compressor pipe placed in anus

2017 ◽  
Vol 5 (3) ◽  
pp. 1119
Author(s):  
Lisha Suraj ◽  
Tanveer Shaikh
Keyword(s):  
Emergency Department ◽  
High Pressure ◽  
Transverse Colon ◽  
Loop Ileostomy ◽  
Exploratory Laparotomy ◽  
Colonic Perforation ◽  
Colon Perforation ◽  
Air Compressor ◽  
Compressor Pipe ◽  
Diverting Loop Ileostomy

Colonic perforation and pneumoperitoneum are the most commonly seen complications in cases of air entry into rectum at a high velocity in a short duration of time. Here we present a case of 24-year-old male who was brought to our emergency department with severe abdominal pain and distension for 2 hours. History suggestive of prank that went wrong, when somebody pumped high-pressure air from an air compressor into his anus while he was changing his clothes. The physical examination and investigations were suggestive of free gas in peritoneal cavity and the patient was taken for emergency exploratory laparotomy. On exploration, gaseous distention of whole colon was observed with serosal tear all along the colon with fresh bleeding. A rent of 1x1 cm seen in middle of transverse colon. The defect was closed primarily and a diverting loop ileostomy was made. Several number of cases of Air compressor abuse has been reported in literature as it is one of the non-iatrogenic cause of barotrauma to colon. It is usually seen when friends play prank on each other.

scholarly journals Postpolypectomy Electrocoagulation Syndrome: A Mimicker of Colonic Perforation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Brian C. Benson ◽  
Jonathan J. Myers ◽  
Jeffrey T. Laczek
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Ct Imaging ◽  
Colonic Perforation ◽  
Colon Wall ◽  
Free Air

Postpolypectomy electrocoagulation syndrome is a rare complication of polypectomy with electrocautery and is characterized by a transmural burn of the colon wall. Patients typically present within 12 hours after the procedure with symptoms mimicking colonic perforation. Presented is the case of a 56-year-old man who developed abdominal pain six hours after colonoscopy during which polypectomy was performed using snare cautery. CT imaging of the abdomen revealed circumferential thickening of the wall of the transverse colon without evidence of free air. The patient was treated conservatively as an outpatient and had resolution of his pain over the following four days. Recognition of the diagnosis and understanding of the treatment are important to avoid unnecessary exploratory laparotomy or hospitalization.

scholarly journals Sigmoid Colonic Perforation with Faecal Peritonitis due to Faecaloma

2014 ◽  
Vol 4 (3) ◽  
pp. 188-190
Author(s):  
Ibrahim Khalil ◽  
Deb Proshad Paul ◽  
Kazi Shohel Iqbal ◽  
Debashish Das
Keyword(s):  
Rare Case ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Causative Factor ◽  
Colonic Perforation ◽  
Colon Perforation ◽  
Faecal Peritonitis ◽  
Stercoral Perforation ◽  
Amoebic Colitis ◽  
Severe Chronic Constipation

Colon perforation is an uncommon event usually caused by malignancy, diverticular disease, amoebic colitis, steroid therapy, trauma and ulcerative colitis, but stercoral perforation is very rare. Severe chronic constipation is considered to be the main causative factor in development of stercoral perforation of colon. Sometimes it can also produce catastrophic complications like colonic obstruction, faecal peritonitis and septicaemia. We report a rare case of sigmoid colonic perforation with faecal peritonitis and pneumoperitonium due to faecaloma which was diagnosed after exploratory laparotomy. DOI: http://dx.doi.org/10.3329/jemc.v4i3.20959 J Enam Med Col 2014; 4(3): 188-190

scholarly journals Colonoscopic Perforations

2017 ◽  
Vol 31 (01) ◽  
pp. 041-046 ◽  
Author(s):  
Nitin Mishra ◽  
Vinay Rai
Keyword(s):  
Primary Anastomosis ◽  
Loop Ileostomy ◽  
High Volume ◽  
Absolute Number ◽  
Colon Perforation ◽  
High Morbidity ◽  
Hartmann Procedure ◽  
Diverting Loop Ileostomy ◽  
Invasive Techniques ◽  
Colorectal Cancer Mortality

AbstractColonoscopy is the gold standard for colon cancer screening. It has led to a decrease in the incidence of colorectal cancer mortality. Colon perforation is a feared complication of this procedure with high morbidity and substantial mortality. Due to the high volume of colonoscopies performed, the absolute number of colonoscopic perforations is relatively high. It leads to a substantial cost to the patient and the health system. Understanding the mechanisms and the risk factors may help in preventing perforation. Traditionally, a laparotomy with creation of a stoma was used to address this complication. However, minimally invasive techniques such as laparoscopy and endoluminal repairs are being used more commonly now. More surgeons are favoring primary anastomosis (with or without a diverting loop ileostomy) than a Hartmann procedure.

Synchronous Diverticular Perforation: Report of a Case

2005 ◽  
Vol 71 (6) ◽  
pp. 528-531 ◽  
Author(s):  
Eduardo Krajewski ◽  
Samuel Szomstein ◽  
Eric G. Weiss
Keyword(s):  
Diverticular Disease ◽  
Primary Anastomosis ◽  
Loop Ileostomy ◽  
Exploratory Laparotomy ◽  
Colonic Perforation ◽  
Time Of Surgery ◽  
First Case ◽  
Microscopic Evaluation ◽  
Abdominal Exploration

Synchronous colonic events are rare. Diverticulitis is the most common and lethal cause of colonic perforation. The first case in the literature of a synchronous diverticular perforation is presented. The patient was admitted with peritonitis. An exploratory laparotomy showed cecal and sigmoid perforations. Resection and primary anastomosis with a protective loop ileostomy was performed. Microscopic evaluation confirmed the presence of cecal and sigmoid perforated diverticuli. Diverticular disease is present in up to two-thirds of patients 80 years of age and older. Right-sided free colonic perforation is rare. Resection and primary anastomosis is feasible in the treatment of perforated diverticular disease. In this report, we emphasize the importance of a thorough abdominal exploration at the time of surgery.

scholarly journals Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

2012 ◽  
Vol 32 (1) ◽  
pp. 73-75
Author(s):  
R Hamid ◽  
AH Shera ◽  
NA Bhat ◽  
A Baba ◽  
A Rashid
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Colonic Stenosis ◽  
Colonic Atresia ◽  
Mucous Fistula

Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction. Key words: Colonic Stenosis; Perforation; Obstruction DOI: http://dx.doi.org/10.3126/jnps.v32i1.5446   J. Nepal Paediatr. Soc. Vol.32(1) 2012 73-75  

Sign in / Sign up

Export Citation Format

Share Document