Rupture of sigmoid colon caused by compressed air

Compressed air has been generally used since the beginning of the 20 th century for various applications. However, rupture of the colon caused by compressed air is uncommon. We report a case of pneumatic rupture of the sigmoid colon. The patient was admitted to the emergency room complaining of abdo...

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Published inWorld journal of gastroenterology : WJG Vol. 22; no. 10; pp. 3062 - 3065
Main Authors Yin, Wan-Bin, Hu, Ji-Lin, Gao, Yuan, Zhang, Xian-Xiang, Zhang, Mao-Shen, Liu, Guang-Wei, Zheng, Xue-Feng, Lu, Yun
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 14.03.2016
Subjects
Accidents
Adult
air
Case Report
Colon, Sigmoid - diagnostic imaging
Colon, Sigmoid - injuries
Colon, Sigmoid - surgery
Colon;Rectum;Colon
Compressed Air - adverse effects
Humans
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Male
perforation;Compressed
Pneumoperitoneum - etiology
rupture;Intestinal
Tomography, X-Ray Computed
Treatment Outcome
Colon rupture
Colon
Compressed air
Intestinal perforation
Rectum
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Summary:Compressed air has been generally used since the beginning of the 20 th century for various applications. However, rupture of the colon caused by compressed air is uncommon. We report a case of pneumatic rupture of the sigmoid colon. The patient was admitted to the emergency room complaining of abdominal pain and distention. His colleague triggered a compressed air nozzle against his anus as a practical joke 2 h previously. On arrival, his pulse rate was 126 beats/min, respiratory rate was 42 breaths/min and blood pressure was 86/54 mm Hg. Physical examination revealed peritoneal irritation and the abdomen was markedly distended. Computed tomography of the abdomen showed a large volume of air in the abdominal cavity. Peritoneocentesis was performed to relieve the tension pneumoperitoneum. Emergency laparotomy was done after controlling shock. Laparotomy revealed a 2-cm perforation in the sigmoid colon. The perforation was sutured and temporary ileostomy was performed as well as thorough drainage and irrigation of the abdominopelvic cavity. Reversal of ileostomy was performed successfully after 3 mo. Follow-up was uneventful. We also present a brief literature review.
Bibliography:Wan-Bin Yin;Ji-Lin Hu;Yuan Gao;Xian-Xiang Zhang;Mao-Shen Zhang;Guang-Wei Liu;Xue-Feng Zheng;Yun Lu;Department of General Surgery,Affiliated Hospital of Qingdao University
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Telephone: +86-532-82919520 Fax: +86-532-82911999
Correspondence to: Yun Lu, MD, Department of General Surgery, Affiliated Hospital of Qingdao University, No. 1677 Wutaishan Road, Huangdao District, Qingdao 266500, Shandong Province, China. cloudylucn@126.com
Author contributions: Yin WB designed the research; Lu Y critically revised the manuscript; and all authors contributed to the preparation of the manuscript and have read and approved the final version to be published.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v22.i10.3062