title: Rupture of sigmoid colon caused by compressed air.
abstract: Compressed air has been generally used since the beginning of the 20(th) century for various applications. However, rupture of the colon caused by compressed air is uncommon. We report a case of pneumatic rupture of the sigmoid colon. The patient was admitted to the emergency room complaining of abdominal pain and distention. His colleague triggered a compressed air nozzle against his anus as a practical joke 2 h previously. On arrival, his pulse rate was 126 beats/min, respiratory rate was 42 breaths/min and blood pressure was 86/54 mmHg. Physical examination revealed peritoneal irritation and the abdomen was markedly distended. Computed tomography of the abdomen showed a large volume of air in the abdominal cavity. Peritoneocentesis was performed to relieve the tension pneumoperitoneum. Emergency laparotomy was done after controlling shock. Laparotomy revealed a 2-cm perforation in the sigmoid colon. The perforation was sutured and temporary ileostomy was performed as well as thorough drainage and irrigation of the abdominopelvic cavity. Reversal of ileostomy was performed successfully after 3 mo. Follow-up was uneventful. We also present a brief literature review.
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Wan-Bin
authors.initials: WB
authors.lastname: Yin
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Ji-Lin
authors.initials: JL
authors.lastname: Hu
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Gao
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Xian-Xiang
authors.initials: XX
authors.lastname: Zhang
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Mao-Shen
authors.initials: MS
authors.lastname: Zhang
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Guang-Wei
authors.initials: GW
authors.lastname: Liu
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Xue-Feng
authors.initials: XF
authors.lastname: Zheng
authors.affiliation: Wan-Bin Yin, Ji-Lin Hu, Yuan Gao, Xian-Xiang Zhang, Mao-Shen Zhang, Guang-Wei Liu, Xue-Feng Zheng, Yun Lu, Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong Province, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Lu
mesh_terms: D000059:Accidents; D000328:Adult; D012809:Colon, Sigmoid / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D058868:Compressed Air / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D011027:Pneumoperitoneum / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Colon; Colon rupture; Compressed air; Intestinal perforation; Rectum