![]() ![]() The peritonitis that develops in these patients usually have a silent course due to changes in inflammatory cells after steroid treatment. Corticosteroids also disturb the intestinal mucosal defence by inhibiting prostocycline synthesis. The prostocyclines are synthesized in intestinal mucosal surface and associated with local defence. Distorded mucosal surface is prone to bacterial colonization. The h istopathological examination revealed a diverticular ulcer with perforation.Ĭorticosteroids disturb the intestinal mucosal repair system by preventing protein synthesis. ![]() There was no leakage or abscess formation in postoperative period ( Fig. The postoperative period was uneventfull. After debridation of perforated region, the defect was primarily repaired with 3/0 vicryl sutures. The multiple biopsies were taken from perforated area. The diameter of the perforation was about 0.2–0.3 cm. A small diverticular perforation on the anti-mesenteric side of the sigmoid colon was detected. In exploration, there was reactive fluid in the abdominal cavity. The patient was explorated with the diagnosis of gastrointestinal perforation. The abdominal ultrasonography revealed dilatation in small intestine with minimal intraabdominal fluid. There was free air below right diaphragm in abdominal x-ray. Rectal ampulla was empty in digital examination. In physical examination, there was rebound tenderness and muscular rigidity in all abdominal quadrants. Patient’s vital signs: Arterial blood pressue: 150/90 mmHg, Pulse rate: 110/min, Axillary temperature: 38 ☌. She was also taking diclofenac sodium 100 mgr/day. She was using prednisone 48–80 mg per day for two years. She had been diagnosed with diabetes mellitus and arterial hypertention. Arch Surg 1931 22:875-902.A 78 year-old woman presented to our emergency department with abdominal pain, nausea and vomiting for five days. Pneumatic rupture of the intestinal canal with experimental data showing the mechanism of perforation and the pressure required. Sigmoid perforation by compressed carbon dioxide. Non- iatrogenic perforation of the colon due to acute barotrauma. 1996 11:179-82.Ĭoffey JC, Winter DC, Sookhai S, Cusack SP, Kirwan WO. Colorectal injury by compressed air-a report of 2 cases. Endoscopic perforation of the colon: lessons from a 10-year study. Colonic perforation due to colonoscopy: a retrospective study of 48 cases. Orsoni P, Berdah S, Verrier C, Caamano A, Sastre B, Boutboul R, et al. A retrospective analysis of cecal barotrauma caused by colonoscope airflow and pressure. A Rare Case of Non Iatrogenic Colonic Barotrauma with Tension Pneumoperitoneum. Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum. Rupture of the colon by compressed air, report of three cases, Annals of surg. Pneumatic colonic rupture accompanied by tension pneumoperitoneum. Kim SJ, Ahn SI, Hong KC, Kim JS, Shin SH, Woo ZH. Colon barotrauma caused by compressed air. Rare presentation of colonic perforation due to severe barotrauma. Rupture of the Bowel from Compressed Air. Various occupational accidents The ruptures of the digestive tract produced by the compressed air. Pneumatic Rupture of the Intestine-a New Type of Industrial Accident. Rupture of the Bowel Caused by Compressed Air. It is usually seen when friends play prank on each other. 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. The defect was closed primarily and a diverting loop ileostomy was made. A rent of 1x1 cm seen in middle of transverse colon. On exploration, gaseous distention of whole colon was observed with serosal tear all along the colon with fresh bleeding. The physical examination and investigations were suggestive of free gas in peritoneal cavity and the patient was taken for emergency exploratory laparotomy. 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. 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. Department of General Surgery, MGM Medical College and Hospital, Kamothe, Navi Mumbai, IndiaĪcute abdomen, Air compressor, Barotrauma, Emergency exploratory laparotomy, Transverse colon perforation AbstractĬolonic 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. ![]()
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