Rectal explosion: a strange case of autoerotic death. Colorectal injury by compressed air: the rule of conservative therapy. A rare case of colorectal injury with compressed air. 2005 61:37–45.Įrgin M, Ozer MR, Kocak S, Karakus N, Babagil B, Cander B. A retrospective analysis of cecal barotrauma caused by colonoscope air flow and pressure. Multiple perforations of colon after compressed air injury. Trans-anal barotrauma by compressed air leading to sigmoid perforation due to a dangerous practical joke. Pneumatic rupture of the intestine, a new type of industrial accident. Incidence and management of colonoscopic perforations: 8 years’ experience. Tulchinsky H, Madhala-Givon O, Wasserberg N, Lelcuk S, Niv Y. Contribution of the external anal sphincter to the pressure zone in the anal canal. Experimental studies reconstructing compressed air insufflations. Perforation of the large intestine caused by compressed air. Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum. Colorectal blowout from compressed air: case report. Zunzunegui RG, Werner AM, Gamblin TC, Stephens JL, Ashley DW. A case of rupture of the bowel caused by compressed air. Clinical presentation and management of iatrogenic colon perforations. Gedebou TM, Wong RA, Rappaport WD, Jaffe P, Kahsai D, Hunter GC. Enemainduced perforation of the rectum in chronically constipated patients. Paran H, Butnaru G, Neufeld D, Magen A, Freund U. Transanal high pressure barotrauma causing colorectal injuries: a case series. Lovenish B, Amit G, Ronal K, Vignesh K, Daljit K. Survived ileocaecal blowout from compressed air. Perforation during hydrostatic reduction of intussusception: proposed mechanism and review of the literature. Colorectal perforation by self-induced hydrostatic pressure: a report of two cases. Non-iatrogenic perforation of the colon due to acute barotrauma. Coffey JC, Winter DC, Sookhai S, Cusack SPA, Kirwan WO. Perforation of the sigmoid colon by hydrostatic pressure of a public water fountain. These patients require a detailed examination and investigations to reveal colorectal injuries, and it must be kept in mind that peritoneal signs can be delayed.ġ. Factors such as psychiatric conditions should be kept in mind when such injuries are encountered in the ED. Peritoneal signs due to faecal contamination can be a late finding after colonic perforation. He was discharged after an uneventful recovery.Įmergency physicians should have a high index of suspicion for catastrophic intra-abdominal injuries, including colonic perforation, in patients with rectal bleeding and severe abdominal pain. Ragged colonic tissue around a perforation of nearly 2 cm in length, 20 cm proximal to the rectosigmoid junction, was excised and repaired. He underwent surgery because oral and intravenous contrast-enhanced abdominal tomographs revealed perforation proximal to the rectosigmoid junction, associated with extensive intra-abdominal free fluid and free air ( Fig. Findings on digital rectal examination were normal. An ultrasound scan showed free fluid in the perihepatic and perisplenic recesses, but no free air or air-fluid levels were seen on conventional radiographs. There was extensive guarding on palpation of the abdomen. The hose had been inserted approximately 30 - 40 cm into the anal canal. He had been constipated for a long time, and 8 hours before the ED visit had attempted to flush out his colon using a high-pressure garden hose. His general condition and vital signs were normal except for a raised heart rate of 115 bpm. On presentation he complained of rectal bleeding and abdominal pain. 1,2Ī 72-year-old man was referred to an emergency department (ED) because of CP due to high-pressure water self-applied anally. There are few data on colonic perforations (CP) due to barotrauma with air or fluid inserted into the anus via various devices. IVAssistant Professor of Radiology in the Department of Radiology, Pamukkale University School of Medicineīowel perforation is a life-threatening condition associated with high morbidity and mortality rates. Only a handful cases of such nature have been reported, with the first case dating back more than a century ago, reported in 1904 by Stone 1. IIIAssociate Professor of General Surgery in the Department of General Surgery, Pamukkale University School of Medicine Barotrauma is defined as physical damage to body tissues caused by a difference in air pressure between the viscous material and its surroundings. IIAssociate Professor of Emergency Medicine in the Department of Emergency Medicine, Acibadem University School of Medicine, Istanbul, Turkey IAssistant Professors of Emergency Medicine in the Department of Emergency Medicine, Pamukkale University School of Medicine, Denizli, Turkey Ibrahim Turkcuer I, * Mustafa Serinken I Ozgur Karcioglu II Cagatay Aydin III Yilmaz Kiroglu IV Perforation of the colon by high-pressure water inserted via the anal canal
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