Rectal Perforation by High Pressure Compressed Air. A Case Report

Amer Hashim Al Ani, Aaya Al Jundi, Safaa Kasim Mohammed, Zahir Al Jowher, Sabah Al Kaisy, Hesham Abdulmoneim, Hassan Abdulhakim and Eltegani Eltayieb Ahmed

Department of General Surgery, Sheikh Khalifa General Hospital, United Arab Emirates
Department of Diagnostic Radiology, Sheikh Khalifa General Hospital, UnitedArab Emirates
Department of General Surgery, Al Sharjah University, United Arab Emirates

^*Correspondance to: Amer Hashim Al Ani 

 PDF  Full Text DOI: 10.25107/2474-1647.1959

Abstract

Background: Rectal trauma is rare. Mostly affecting males (>85%).Its location (intra vs extraperitoneal) determines its management. Rectal injuries cause peritonitis, sepsis and even death if not detected early. Associated mortality is 3% whereas morbidity is 25%.Case Study: We report a 47 year old male presented with generalized abdominal pain after inserting a high pressure compressor in his anus. His past medical history wasn't significant. On physical examination, his abdomen was tender and distended. Laboratory findings revealed mild leukocytosis. Chest X-ray showed air under the diaphragm bilaterally. Explorative laparotomy was done. Posterior wall of upper rectum perforation was discovered. Primary repair was performed. No complications after one month follow-up.Discussion: Colo-rectal barotraumas by compressed air may cause rectal perforation. Mostly at the anti-mesenteric surface of the sigmoid colon. Plain radiographs aid diagnosis. Computed tomography (CT) is sensitive and specific for rectal injury. The gold standard treatment of intraperitoneal perforations is primary repair.Conclusion: Rectal perforation by compressed air is uncommon. Primary repair is appropriate in early presentations, minimal tissue damage and no peritoneal contamination.

Keywords

Rectum; Barotraumas; Colon; Perforation; Compressed air

Cite the article

Al Ani AH, Al Jundi A, Mohammed SK, Al Jowher Z, Al Kaisy S, Abdulmoneim H, et al. Rectal Perforation by High Pressure Compressed Air. A Case Report. Clin Surg. 2018; 3: 1959.