Ann Coloproctol.  2019 Dec;35(6):357-360. 10.3393/ac.2018.08.19.

Pneumatic Colorectal Injury Caused by High Pressure Compressed Air

Affiliations
  • 1Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea. ssulyh@gmail.com
  • 2Department of Trauma Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Abstract

The pneumatic colorectal injury caused by high pressure compressed air are rare and can be fatal. Herein, we present a case of 45-year-old male who developed sudden onset of severe abdominal pain after cleaning the dust on his pants with high pressure compressed air gun dust cleaner. Emergent exploratory laparotomy was done which findings are a huge rectal perforation with multiple serosal and subserosal tear in sigmoid to splenic flexure of colon. Anterior resection with left hemicolectomy, and temporary transverse colostomy was performed. Postoperative course was uneventful. Recently, prognosis is generally favorable because of prompt diagnosis and emergent surgical management.

Keyword

Colon; Rectum; Pneumatic injury; Perforation; High pressure compressed air

MeSH Terms

Abdominal Pain
Colon
Colon, Sigmoid
Colon, Transverse
Colostomy
Compressed Air*
Diagnosis
Dust
Humans
Laparotomy
Male
Middle Aged
Prognosis
Rectum
Tears
Dust
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