Silent Pneumoperitoneum in a Major Burn Earthquake Survivor: Sigmoid Diverticular Perforation.

Year 2023, , 258 - 261, 02.10.2023

Merve Akın , Tezcan Akın , Ayse Karabağlı Ahmet Çınar Yastı

https://doi.org/10.5505/achmedj.2023.68552

Abstract

In February 2023, two major earthquakes with magnitudes of 7.6 and 7.8 occurred in Kahramanmaraş, Turkey. Major burns are traumas that involve a multisystemic organ response. Gastrointestinal complications, including stress ulcers and acute mesenteric ischemia-related conditions, are commonly seen in patients with major burns. While crush syndrome and extremity injuries are typically observed in earthquake survivors, burn cases have also been reported. However, hollow organ perforation due to blunt trauma from being trapped under the rubble is not
commonly observed. In this case report, a patient who developed a scald burn during the earthquake, trapped under the rubble, and developed silent pneumoperitoneum on the 10th day after the earthquake is presented.

Keywords

Eartquake, Burns, Sigmiod Diverticulit Perforation

References

• 1. Cirodde , A., Jault , P., Leclerc, T., Donat, N., & Bargues, L.et al. (2012). Sigmoid diverticulitis perforation in burns: case reports and review of the literature. Annals of burns and fire disasters, 25(1), 22–25.
• 2. Kanamalla , K., Salamone , F. J., & Vargas, J.(2021). Perforated sigmoid colon in the setting of chicken bone ingestion and diverticulitis: A case report. Annals of medicine and surgery (2012), 68, 102650. https://doi.org/10.1016/j.amsu.2021.102650
• 3. Akhgar, A., Talebian, M. T., Ashouri, M., Ghorbani, S., & Mirfazaelian, Het al. (2017). Jejunal Perforation Following Blunt Abdominal Trauma; a Case Report. Advanced journal of emergency medicine, 1(1), e9. https://doi.org/10.22114/AJEM.v1i1.22
• 4. Ronald P. Mlcak, Michael C. Buffalo, and Carlos J. Jımenez, Prehospital Management, Transportation, and Emergency Care. Total Burn Care by D. Herndon, 5 th edition Elsevier, 2018
• 5.Wurzer P, Culnan D, Cancio LC, et.al. Pathophysiology of Burn scock and burn edema; Total Burn Careby D. Herndon, 5 th edition ; Elesivier, 2018
• 6. Bashar, S., Al Sbihi, A. F., Manasrah, N., Chaudhary, A. J., & Iqbal, S.et al. (2021). Silent Sigmoid Colon Diverticular Perforation: A Case Report. Cureus, 13(5), e14900. https://doi.org/10.7759/cureus.14900
• 7. Fadel, M. G., Iskandarani, M., Cuddihy, J., Jones, I., Collins, D., & Kontovounisios, Cet al. (2021). Colonic perforation following major burns: Experience from a burns center and a systematic review. Burns : journal of the International Society for Burn Injuries, 47(6), 1241–1251.https://doi.org/10.1016/j.burns.2021.04.018
• 8. Ghoneim, I. E., & Bang, R. L. (1995). Caecal perforation in a burn patient. Burns : journal of the International Society for Burn Injuries, 21(8), 619–621. https://doi.org/10.1016/0305-4179(95)00043-b
• 9. Still, J. M., Jr, Scheirer, R. C., & Law, E. J. (1994). Caecal perforation due to colonic ulcer in a burn patient. Burns : journal of the International Society for Burn Injuries, 20(1), 85–86. https://doi.org/10.1016/0305-4179(94)90116-3 910. Schnider, S. L., Shank, C., Henry, S. E., & Bingham, H. G. (1985). Perforation of the transverse colon in a patient with a major thermal injury. The Journal of burn care & rehabilitation, 6(3), 243–245. https://doi.org/10.1097/00004630-198505000-00008
• 10. Scaife C., Saffle JR, Morris SE. (1999). Intestinal obstruction secondary to enteral feedings in burn trauma patients. The Journal of trauma, 47(5), 859–863. https://doi.org/10.1097/00005373-199911000-00007