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Trans-anal barotrauma by compressed air leading to sigmoid perforation due to a dangerous practical joke.

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.
AuthorsHarvinder Singh Pahwa, Awanish Kumar, Rohit Srivastava, Anurag Rai
JournalBMJ case reports (BMJ Case Rep) Vol. 2012 ( 2012) ISSN: 1757-790X [Electronic] England
PMID22854240 (Publication Type: Case Reports, Journal Article)
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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