8/1/2023 0 Comments Barotrauma colonAccording to the patient’s history, an air nozzle was placed at a distance of approximately 25 cm from the anus for less than 1 s. Education regarding such machines and their safe use must be encouraged because most of these cases are accidental and due to ignorance.Ī 24-year-old Caucasian descent man presented to the emergency department of our institution with an alleged history of accidental injury to the anus by compressed air jet, following which he developed diffuse abdominal pain and distention. The relative fixity of the rectum and the bends of the sigmoid make the rectosigmoid junction more prone to rupture by high-pressure air jet. ConclusionsĬolorectal injuries by pneumatic insufflation through the anus depends on the air pressure, air flow velocity, anal resting pressure, and the distance between the source and anus. They underwent restoration of bowel continuity after 2–3 months and were doing well in follow-up. The patients underwent exploratory laparotomy with resection of severely injured segments and proximal ileostomy. All these cases had rectosigmoid junction blowout with multiple colonic injuries. A huge amount of free gas was noted in the peritoneal cavity on x-rays, and a big gush was noted during surgery. The high-pressure air jet column overcomes the anal sphincter barrier, pushing enormous amounts of air through the anus into the bowel, which ruptures when the burst pressure is reached. The mode of injury was accidental or a cruel, perverted joke played by acquaintances. We present our experience with treating high-pressure transanal barotrauma to the rectum and colon in three similar cases. Owing to the infrequent nature of these injuries, the mechanism is still not well understood. Apart from iatrogenic injuries during colonoscopy, barotrauma from compressed air is encountered very less frequently. Arch Surg 1931 22:875-902.Rectal perforation by foreign bodies is known however, high-pressure injury leading to rectal blowout has been confined to battlefields and is less often encountered in general medical practice. Pneumatic rupture of the intestinal canal with experimental data showing the mechanism of perforation and the pressure required. Sigmoid perforation by compressed carbon dioxide. Non- iatrogenic perforation of the colon due to acute barotrauma. 1996 11:179-82.Ĭoffey JC, Winter DC, Sookhai S, Cusack SP, Kirwan WO. Colorectal injury by compressed air-a report of 2 cases. Endoscopic perforation of the colon: lessons from a 10-year study. Colonic perforation due to colonoscopy: a retrospective study of 48 cases. Orsoni P, Berdah S, Verrier C, Caamano A, Sastre B, Boutboul R, et al. A retrospective analysis of cecal barotrauma caused by colonoscope airflow and pressure. A Rare Case of Non Iatrogenic Colonic Barotrauma with Tension Pneumoperitoneum. Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum. Rupture of the colon by compressed air, report of three cases, Annals of surg. Pneumatic colonic rupture accompanied by tension pneumoperitoneum. Kim SJ, Ahn SI, Hong KC, Kim JS, Shin SH, Woo ZH. Colon barotrauma caused by compressed air. Rare presentation of colonic perforation due to severe barotrauma. Rupture of the Bowel from Compressed Air. Various occupational accidents The ruptures of the digestive tract produced by the compressed air. Pneumatic Rupture of the Intestine-a New Type of Industrial Accident. Rupture of the Bowel Caused by Compressed Air. It is usually seen when friends play prank on each other. Several number of cases of Air compressor abuse has been reported in literature as it is one of the non-iatrogenic cause of barotrauma to colon. The defect was closed primarily and a diverting loop ileostomy was made. A rent of 1x1 cm seen in middle of transverse colon. On exploration, gaseous distention of whole colon was observed with serosal tear all along the colon with fresh bleeding. The physical examination and investigations were suggestive of free gas in peritoneal cavity and the patient was taken for emergency exploratory laparotomy. History suggestive of prank that went wrong, when somebody pumped high-pressure air from an air compressor into his anus while he was changing his clothes. Here we present a case of 24-year-old male who was brought to our emergency department with severe abdominal pain and distension for 2 hours. Department of General Surgery, MGM Medical College and Hospital, Kamothe, Navi Mumbai, IndiaĪcute abdomen, Air compressor, Barotrauma, Emergency exploratory laparotomy, Transverse colon perforation AbstractĬolonic perforation and pneumoperitoneum are the most commonly seen complications in cases of air entry into rectum at a high velocity in a short duration of time.
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