title: Successful laparoscopic repair of a large traumatic sigmoid perforation.
abstract: Bowel perforation can be potentially fatal. We describe the case of a 42-year-old male who presented with severe abdominal pain following anal fisting. Clinical examination revealed tenderness of the complete abdomen with signs of peritonism. A CT-scan with rectal contrast showed a perforation of the sigmoid 40 cm above the anus. At laparoscopy, a perforation in the sigmoid colon was found and successfully repaired. Patient recovered uneventful and was discharged in 5 days. We present a unique case of a sigmoid perforation after anal fisting which was laparoscopically repaired without formation of a protective colostomy.
authors: Slotervaartziekenhuis, Amsterdam, The Netherlands.
authors: Jk
authors: J
authors: de Bakker
authors: Slotervaartziekenhuis, Amsterdam, The Netherlands.
authors: Sc
authors: S
authors: Bruin