Rectal perforation by compressed air.
10.4174/astr.2017.93.1.61
- Author:
Young Jin PARK
1
Author Information
1. Department of Surgery, Dongguk University Ilsan Hospital, Goyang, Korea. parkyj@dumc.or.kr
- Publication Type:Case Report
- Keywords:
Intestinal perforation;
Rectum;
Barotrauma
- From:Annals of Surgical Treatment and Research
2017;93(1):61-63
- CountryRepublic of Korea
- Language:English
-
Abstract:
As the use of compressed air in industrial work has increased, so has the risk of associated pneumatic injury from its improper use. However, damage of large intestine caused by compressed air is uncommon. Herein a case of pneumatic rupture of the rectum is described. The patient was admitted to the Emergency Room complaining of abdominal pain and distension. His colleague triggered a compressed air nozzle over his buttock. On arrival, vital signs were stable but physical examination revealed peritoneal irritation and marked distension of the abdomen. Computed tomography showed a large volume of air in the peritoneal cavity and subcutaneous emphysema at the perineum. A rectal perforation was found at laparotomy and the Hartmann procedure was performed.
