Abstract
References
- 1-Mularski RA, Ciccolo ML, Rappaport WD. Nonsurgical causes of pneumoperitoneum.West J Med 1999; 170: 41-46.
- 2-Harari D, Gurwitz JH, Avorn J, et al. Constipation: assessment and management in an institutionalized elderly population. J Am Geriatr Soc. 1994; 42: 947-952
- 3-Harari D, Gurwitz JH, Minaker KL. Constipation in the elderly. J Am Geriatr Soc. 1993; 41: 1130-40
- 4-Paran H, Butnaru G, Neufeld D, et al. Enema-induced perforation of the rectum in chronically constipated patients. Dis Colon Rectum 1999; 42: 1609-1612
- 5-Gedebou TM, Wong RA, Rappaport WD, et al. Clinical presentation and management of iatrogenic colonperforations. Am J Surg 1996; 172: 454-458
- 6-Suh HH, Kim YJ, Kim SK. Colorectal injury by compressed air - a report of two cases. J Korean Med Sci1996; 11: 179-82.
Abstract
Pneumoperitoneum is the
result of a gastrointestinal (GI) tract perforation in more than 90% of cases.
Perforation of the stomach or duodenum caused by peptic ulcer is considered the
most common cause of pneumoperitoneum. In this article, we present a case of
pneumoperitoneum associated with sigmoid colon perforation, which is the result
of the patient trying to create a laxative effect by inserting the hose
attached to the wash basin into his rectum and opening the water afterwards. An 89
years old male patient was brought to the emergency department with complaints
of abdominal pain starting about 2 hours ago.
The patient's abdominal ultrasonography showed free fluid up to 10 cm in the
lower abdomen. Posterior anterior chest X-ray and direct standing abdominal X-ray of the patient had subdiaphragmatic
free air and images with free fluid, pneumoperitoneum and perforation were
obtained in contrast enhanced abdominal tomography. As a result of surgery
performed by general surgery it was seen approximately 30 cm proximal
from the rectumthat there was a 4 cm perforation
in the sigmoid colon. We must consider pneumoperitoneum, which is the result of
colon perforation especially in elderly patients with acute abdominal pain, to
be definitely among our differential diagnoses.
References
- 1-Mularski RA, Ciccolo ML, Rappaport WD. Nonsurgical causes of pneumoperitoneum.West J Med 1999; 170: 41-46.
- 2-Harari D, Gurwitz JH, Avorn J, et al. Constipation: assessment and management in an institutionalized elderly population. J Am Geriatr Soc. 1994; 42: 947-952
- 3-Harari D, Gurwitz JH, Minaker KL. Constipation in the elderly. J Am Geriatr Soc. 1993; 41: 1130-40
- 4-Paran H, Butnaru G, Neufeld D, et al. Enema-induced perforation of the rectum in chronically constipated patients. Dis Colon Rectum 1999; 42: 1609-1612
- 5-Gedebou TM, Wong RA, Rappaport WD, et al. Clinical presentation and management of iatrogenic colonperforations. Am J Surg 1996; 172: 454-458
- 6-Suh HH, Kim YJ, Kim SK. Colorectal injury by compressed air - a report of two cases. J Korean Med Sci1996; 11: 179-82.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 10, 2020 |
| Submission Date | January 17, 2019 |
| Published in Issue | Year 2020 |