This case presents a rare complication of the spontaneous rupture of a femoral hernia in an elderly woman without causing much systemic effect despite the herniated bowel being necrosed and perforated, giving rise to an enterocutaneous fistula. The small bowel had also prolapsed through the fistula opening, making it a very rare and alarming presentation.
Aged ; Female ; Hernia, Femoral ; complications ; surgery ; Humans ; Intestinal Fistula ; etiology ; surgery ; Intestinal Perforation ; etiology ; surgery ; Prolapse ; Rupture, Spontaneous

Colonic Diseases ; diagnosis ; etiology ; surgery ; Female ; Humans ; Infant, Newborn ; Intestinal Perforation ; diagnosis ; etiology ; surgery ; Male

Adult ; Female ; Humans ; Intestinal Perforation ; etiology ; pathology ; surgery ; Malignant Atrophic Papulosis ; complications ; pathology ; surgery ; Young Adult

Digestive System Surgical Procedures ; Duodenal Ulcer ; complications ; surgery ; Humans ; Intestinal Perforation ; etiology ; surgery

OBJECTIVETo explore the efficacy and the security of laparoscopic technique in patients with traumatic colorectal perforation.

METHODSClinical data of 42 patients with traumatic colorectal perforation in our hospital during March of 2005 to March of 2013 were retrospectively analyzed. Twenty-two patients received traditional open operation, and 20 patients received laparoscopic treatment.

RESULTSAs compared to open group, laparoscopic group had shorter operation time [(72 ± 36) min vs. (128 ± 52) min], less blood loss during operation [(21.2 ± 3.6) ml vs. (62.6 ± 8.8) ml], faster postoperative bowel function return[(1.7 ± 0.6) d vs. (3.5 ± 1.2) d], shorter hospital stay after operation [(7.3 ± 1.8) d vs. (13.6 ± 3.9) d], and lower incidence of postoperative complication [35.0% (7/20) vs. 72.7% (16/22)]. The differences between two were statistically significant (all P<0.05).

CONCLUSIONLaparoscopic operation has advantages in the treatment of traumatic colorectal perforation with short operation time, small trauma, rapid recovery and low incidence of complications.

No abstract available.
Colon/pathology/surgery ; Colonoscopy ; Female ; Humans ; Intestinal Perforation/*etiology ; Plastics ; Stents/*adverse effects

Recently, increasingly invasive therapeutic endoscopic procedures and more complex gastrointestinal surgeries such as endoscopic mucosal resection, endoscopic submucosal dissection, and novel laparoscopic approaches have resulted in endoscopists being confronted more frequently with perforations, fistulas, and anastomotic leakages, for which nonsurgical closure is desired. In this article, we present our experiences with the use of over-the-scope clip (OTSC) for natural orifice transluminal endoscopic surgery (NOTES) closure, prevention of perforation, anastomotic leakages, and fistula closures. The OTSC is a valuable device for closing intestinal perforations and fistulas, for NOTES closure, and for the prevention of perforation after the excision of a tumor from the proper muscle layer. Furthermore, it seems to be quite safe to perform, even by endoscopists with little experience of the technique.
Anastomotic Leak ; Fistula ; Gastrointestinal Tract* ; Intestinal Perforation ; Natural Orifice Endoscopic Surgery ; Tertiary Care Centers*

Colon, Ascending ; injuries ; Foreign Bodies ; complications ; Humans ; Intestinal Perforation ; diagnosis ; etiology ; surgery ; Male ; Middle Aged ; Seafood

Amino Acids ; blood ; Blood Proteins ; analysis ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Intestinal Obstruction ; surgery ; Intestinal Perforation ; surgery ; Male ; Parenteral Nutrition ; Postoperative Care

Stercoral perforation of the colon is an unusual pathological condition with fewer than 150 cases reported in the literature to date. We present a case of stercoral colonic perforation mimicking upper gastrointestinal perforation, which was diagnosed by computed tomography preoperatively. However, at laparotomy, stercoral colonic diverticulum perforation with jejunal diverticulitis became the most appropriate diagnosis.
Aged, 80 and over ; Colonic Diseases ; diagnosis ; surgery ; Diverticulitis ; diagnosis ; surgery ; Diverticulum, Colon ; diagnosis ; surgery ; Humans ; Intestinal Perforation ; diagnosis ; surgery ; Jejunal Diseases ; diagnosis ; Male ; Tomography, X-Ray Computed