A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus
Key Clinical Message The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompres...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-05-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7344 |
| _version_ | 1797820471612276736 |
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| author | Havil Stephen Alexander Bakka Perumalla Karthik Babu Lakshmi Venkata Simhachalam Kutikuppala Tarun Kumar Suvvari Samrat Babu Koirala |
| author_facet | Havil Stephen Alexander Bakka Perumalla Karthik Babu Lakshmi Venkata Simhachalam Kutikuppala Tarun Kumar Suvvari Samrat Babu Koirala |
| author_sort | Havil Stephen Alexander Bakka |
| collection | DOAJ |
| description | Key Clinical Message The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompression by a wide‐bore needle can be done as depicted in our patient to provide immediate relief. Abstract Rectal perforation most commonly occurs due to trauma, but rarely due to a high pressure compressed air passing through the anus as a part of playful joke. Owing to the belief of medico‐legal issues and socio‐psychological circumstances about the ano‐rectal injury, initial approach to the medical facilities might be delayed, causing a delayed presentation and poor prognosis. We report an incident of a young male who presented with tension pneumoperitoneum causing abdominal compartment syndrome with fecal peritonitis due to forceful passing of high‐pressure air through his anus. An initial decompression of the abdomen with a wide‐bore needle was done at the emergency room. An emergency laparotomy with a primary repair of the rectal perforation by two layered sutures was done followed by a loop colostomy, 10 cm proximal to the injury. Colostomy closure was performed after 4 weeks. Post‐operative recovery period was uneventful. |
| first_indexed | 2024-03-13T09:38:47Z |
| format | Article |
| id | doaj.art-d2e997a733d940bda462fff9d4b779e6 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-13T09:38:47Z |
| publishDate | 2023-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-d2e997a733d940bda462fff9d4b779e62023-05-25T05:58:40ZengWileyClinical Case Reports2050-09042023-05-01115n/an/a10.1002/ccr3.7344A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anusHavil Stephen Alexander Bakka0Perumalla Karthik Babu1Lakshmi Venkata Simhachalam Kutikuppala2Tarun Kumar Suvvari3Samrat Babu Koirala4Department of General Surgery Ramesh Sanghamitra Hospitals Ongole IndiaDepartment of General Surgery Ramesh Sanghamitra Hospitals Ongole IndiaDepartment of General Surgery Dr NTR University of Health Sciences Vijayawada IndiaRangaraya Medical College Kakinada IndiaNepalese Army Institute of Health Sciences College of Medicine Kathmandu NepalKey Clinical Message The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompression by a wide‐bore needle can be done as depicted in our patient to provide immediate relief. Abstract Rectal perforation most commonly occurs due to trauma, but rarely due to a high pressure compressed air passing through the anus as a part of playful joke. Owing to the belief of medico‐legal issues and socio‐psychological circumstances about the ano‐rectal injury, initial approach to the medical facilities might be delayed, causing a delayed presentation and poor prognosis. We report an incident of a young male who presented with tension pneumoperitoneum causing abdominal compartment syndrome with fecal peritonitis due to forceful passing of high‐pressure air through his anus. An initial decompression of the abdomen with a wide‐bore needle was done at the emergency room. An emergency laparotomy with a primary repair of the rectal perforation by two layered sutures was done followed by a loop colostomy, 10 cm proximal to the injury. Colostomy closure was performed after 4 weeks. Post‐operative recovery period was uneventful.https://doi.org/10.1002/ccr3.7344gastrointestinal surgeryperitonitis rectal perforation |
| spellingShingle | Havil Stephen Alexander Bakka Perumalla Karthik Babu Lakshmi Venkata Simhachalam Kutikuppala Tarun Kumar Suvvari Samrat Babu Koirala A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus Clinical Case Reports gastrointestinal surgery peritonitis rectal perforation |
| title | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
| title_full | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
| title_fullStr | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
| title_full_unstemmed | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
| title_short | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
| title_sort | case of tension pneumoperitoneum with fecal peritonitis due to high pressure air insufflation through the anus |
| topic | gastrointestinal surgery peritonitis rectal perforation |
| url | https://doi.org/10.1002/ccr3.7344 |
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