A Rare Case of Isolated Sigmoid Colon Perforation in Patient with Blunt Trauma Abdomen

A 47 years old male presented to emergency department with history of pain abdomen after road traffic accident 6 hours back. He had deceleration injury while driving a minivan when he hit a truck parked on road side. On presentation, his Airway and breathing was intact with GCS 15/15.Pulse was 110/min and blood pressure was 100/70 mmHg. His abdomen was generalized tender, mostly in the hypogastrium. Digital rectal examination was normal. Ultrasound abdomen showed free fluid in the peritoneal cavity and chest and abdominal X-rays were unremarkable. On opening the abdomen there was 7×7 cm isolated perforation in sigmoid colon 5 cm proximal to recto sigmoid junction. Repair of perforation was done and proximal double barrel sigmoid colostomy was made. Patient was discharged on 3rd post-operative day. Later after 4 months reversal of sigmoid colostomy was done and patient was discharged.

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Delayed Post-Barium Enema Sigmoid Colon Perforation Due to Squamous Cell Carcinoma Invasion from an Unknown Primary Source

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.44.78 ◽

2011 ◽

Vol 44 (1) ◽

pp. 78-83 ◽

Cited By ~ 1

Author(s):

Tomoki Yamano ◽

Chikao Yutani ◽

Isao Arai ◽

Toshiaki Takada

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Sigmoid Colon ◽

Barium Enema ◽

Squamous Cell ◽

Primary Source ◽

Colon Perforation ◽

Unknown Primary ◽

Sigmoid Colon Perforation

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Sigmoid Colon Perforation Occurred in 12 years after Renal Transplantation

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.39.620 ◽

2006 ◽

Vol 39 (5) ◽

pp. 620-625 ◽

Cited By ~ 2

Author(s):

Hiroaki Takeshita ◽

Takashi Tsuji ◽

Terumitsu Sawai ◽

Shigekazu Hidaka ◽

Shinichi Shibazaki ◽

...

Keyword(s):

Renal Transplantation ◽

Sigmoid Colon ◽

Colon Perforation ◽

Sigmoid Colon Perforation

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Transmurally migrated gossypiboma rarely posing as surgical site infection: a case report and review of literature

International Surgery Journal ◽

10.18203/2349-2902.isj20204168 ◽

2020 ◽

Vol 7 (10) ◽

pp. 3500

Author(s):

Amrita Gaurav ◽

Juhi Mishra ◽

Om Kumari ◽

Kavita Khoiwal ◽

Farhanul Huda ◽

...

Keyword(s):

Caesarean Section ◽

Surgical Site Infection ◽

Sigmoid Colon ◽

Primary Repair ◽

Wound Dehiscence ◽

Colon Perforation ◽

Site Infection ◽

Surgical Sponge ◽

Ileal Loop ◽

Sigmoid Colon Perforation

The term gossypiboma is used to describe a retained surgical sponge or gauge after surgery. The clinical features range from being asymptomatic to frank bowel obstruction, perforation and peritonitis. Radiological modalities also do not provide a definite diagnosis. We report a case of a 30-year-old lady who presented to the emergency room with recurrent surgical site infection. She had a history of caesarean section 5 months ago. Following the caesarean section, she developed superficial wound dehiscence which was re-sutured. At the present facility, the lady underwent Computed tomography (CT) scan and was suspected to have a foreign body around the gut. She was planned for an exploratory laparotomy. Upon laparotomy, a large thick-walled ileal loop with some unusual intra luminal mass was found. Dense adhesions were present between the ileal loop and sigmoid colon. Adhesiolysis led to an iatrogenic sigmoid colon perforation, around 2 cm length. On incision over the ileal loop, surgical sponge was retrieved. Ileal loop was resected along with perforated site with end-to-end ileo-ileal anastomosis was done. Primary repair of sigmoid colon perforation was done. Patient was stable in postoperative period. Although rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting with recurrent surgical site infection.

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Early-onset sigmoid colon perforation during concurrent chemoradiation in a patient with cervical cancer

International Journal of Gynecological Cancer ◽

10.1136/ijgc-00009577-200403000-00030 ◽

2004 ◽

Vol 14 (2) ◽

pp. 381-383

Author(s):

H. Lin ◽

C.-L. Chang ◽

E.-Y. Huang ◽

C.-C. Changchien

Keyword(s):

Cervical Cancer ◽

Sigmoid Colon ◽

Concurrent Chemoradiotherapy ◽

Tissue Injury ◽

Gynecological Cancer ◽

Good Condition ◽

External Beam Radiation ◽

Colon Perforation ◽

Beam Radiation ◽

Sigmoid Colon Perforation

Radiation-induced colon perforation is a rare adverse effect caused by vascular and connective tissue injury to the rectosigmoid colon. It usually occurs a few months to years after radiotherapy for gynecological cancer. Herein, we present a patient who developed sigmoid colon perforation during concurrent chemoradiotherapy for cervical cancer. The patient was a 64-year-old clinical stage IIB woman who received concurrent chemoradiotherapy as a standard treatment. The chemotherapeutic protocol was cisplatin 50 mg/m2 and 5-fluorouracil 4000 mg, starting together with radiotherapy. After the completion of external beam radiation for 4500 cGy, the patient developed sigmoid colon perforation presenting with fecal peritoneum and sepsis. An emergency end ileostomy with resection of entire sigmoid colon was performed and the patient was discharged 3 months later in good condition. Clinicians must be highly suspicious of serious bowel perforation, even if the full dose of radiation has not been completed. Whether or not the chemotherapy was the trigger factor is in need of further clarification.

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