A dangerous joke: Colon perforation by an air compressor

Year 2015, Volume: 2 Issue: 5, 314 - 15, 06.07.2015

Erkan Hazar , Afsin Kayipmaz , Abuzer Coskun , Sedat Ozbay Osman Okur Ilham Ozkan Sevki Eren , Cemil Kavalci

Abstract

The most dangerous complication of air entry into rectum at a high volume and velocity in a short time are sigmoid colon rupture and pneumoperitoneum.

We present a 28-year-old male was brought to emergency with abdominal nausea, vomiting, pain, and abdominal swelling for 4 hours. Based on physical examination and laboratory data the patient was taken to operating theatre for suspected acute appendicitis. On exploration an excessive amount of gas distention was observed in whole colon with caecum being more distended. There were serosal linear defects that were bleeding, with the largest being 3-4 cm, mainly in rectum. Larger defects were primarily closed. A more detailed patient history was taken and it was found out that he was pumped high-pressure air by an air compressor into his anus while joking with his friends.

Air compressor abuse is one of the non-iatrogenic causes of barotrauma to colon. It usually occurs while working mates are joking with each other. In the rare cases where the cause of acute abdomen remains unclear it would be prudent to question the trauma history and use of an air compressor. 

Keywords

Air compressor, colon perforation, emergency.

A dangerous joke: Colon perforation by an air compressor

Abstract

References

• Mulkipatil SY, ShirburSN, Shankar gururaj. Rare presentation of colonic perforation due to severe barotrauma.Medica. 2014; 3: 140-145.
• Choi JY, Park KS, Park TW, Koh WJ, Kim HM. Colon barotrauma caused by compressed air. Intest Res. 2013; 11: 213-216.
• Kim SJ, Ahn SI, Hong KC, Kim JS, Shin SH, Woo ZH. Pneumatic colonic rupture accompanied by tension pneumoperitoneum. Yonsei Med J. 2000; 41: 533-5.
• Woltjen JA. A retrospective analysis of cecal barotrauma caused by colonoscope airflow and pressure. GastrointestEndosc. 2005; 61: 37-45.
• Orsoni P, Berdah S, Verrier C, et al. Colonic perforation due to colonoscopy: a retrospective study of 48 cases. Endoscopy. 1997; 29: 160-164.
• Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study. Am J Gastroenterol. 2000; 95: 3418-3422.
• Suh HH, Kim YJ, Kim SK. Colorectal injury by compressed air-a report of 2 cases. J Korean Med Sci. 1996; 11: 179-182.
• Coffey JC, Winter DC, Sookhai S, Cusack SP, Kirwan WO. Non- iatrogenic perforation of the colon due to acute barotrauma. Int J Colorectal Dis. 2007; 22: 561-562.