Rupture of sigmoid colon caused by compressed air

• Published in: World 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
• Language: English
• 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
• DOI: 10.3748/wjg.v22.i10.3062
• ISSN: 1007-9327

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.