Work

Cecum perforation secondary to plunger-induced barotrauma

Year: 2019

Type: article

Abstract: Barotrauma to the colon and rectum is well documented, most commonly due to endoscopic complications. Here, we describe the unique case of a 56-year-old male presenting with peritonitis after self induced barotrauma to his colon following an attempt to alleviate 4-day obstipation with a toilet plunger. Exploratory laparotomy revealed a perforated and gangrenous right colon, which was promptly treated with an open right hemicolectomy and end-loop Prasad ileocolostomy. To our knowledge, this represents the first case of its kind and highlights the distinct pathology for colorectal barotrauma depending on the underlying mechanism of injury.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjz077

Authors: Jonathan Rubin, Daniel R Principe, Blake Movitz, Matthew Ng, Kunal Kochar

Institutions: Advocate Illinois Masonic Medical Center, University of Illinois Chicago, John H. Stroger, Jr. Hospital of Cook County, Advocate Lutheran General Hospital

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000