Abstract |
To present a case report of trans-anal barotrauma by high-pressure compressed air jet as a dangerous practical joke, that is, playful insufflation of high-pressure air jet through the anal orifice resulting in sigmoid perforation. The patient presented to emergency a day later with complaints of severe pain in the abdomen and abdominal distension following insufflation of high-pressure air jet through the anus. On examination, he had signs suggestive of perforation peritonitis and x-ray of the abdomen showed gas under the diaphragm. An emergency exploratory laparotomy was performed which revealed a 4-cm perforation in the sigmoid colon. Resection of the segment containing perforation along with the surrounding devitalised part was done with double-barrel colostomy. Reversal of colostomy was done after 8 weeks. Follow-up was uneventful.
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Authors | Harvinder Singh Pahwa, Awanish Kumar, Rohit Srivastava, Anurag Rai |
Journal | BMJ case reports
(BMJ Case Rep)
Vol. 2012
(Aug 01 2012)
ISSN: 1757-790X [Electronic] England |
PMID | 22854240
(Publication Type: Case Reports, Journal Article)
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Topics |
- Abdominal Pain
(etiology)
- Adult
- Anal Canal
- Barotrauma
(complications, diagnosis)
- Colon, Sigmoid
(injuries, pathology, surgery)
- Colostomy
- Compressed Air
(adverse effects)
- Device Removal
- Dyspnea
(etiology)
- Humans
- Intestinal Perforation
(complications, diagnosis, etiology, surgery)
- Laparotomy
- Male
- Peritonitis
(complications, etiology)
- Tachycardia
(etiology)
- Treatment Outcome
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