Pneumatic colonic Rupture Accompanied by Tension Pneumoperitoneum

Title
Pneumatic colonic Rupture Accompanied by Tension Pneumoperitoneum
Authors
Kim, S.J.; Ahn, S.I.; Hong, K.C.; Kim, J.S.; Shin, S.H.; Woo, J.H.
Keywords
pneumatic rupture, colon
Issue Date
2000-08
Publisher
YONSEI MEDICAL JOURNAL
Abstract
Rupture of the colon caused by high pressure compressed air is a rare, unique and traumatic intra-abdominal injury. As the use of compressed air in industrial work has increased, so has che risk of associated pneumatic injuries from its improper use. Recently we experienced a case of pneumatic rupture of the sigmoid colon accompanied by tension pneumoperitoneum, which caused respiratory distress. The patient's respiration was very rapid with the rate of 44 breaths per minute. On arterial blood gas analysis, pH was 7.40, pO(2) 68 mmHg, pCO(2) 44 mmHg, and SaO(2) 90%. Chest X-ray film showed marked pneumoperitoneum and an elevated diaphragm. The respiratory distress was severe and required immediate relief by emergency decompression peritoneocentesis before surgical intervention consisting of the serosal rear repair, colonic rupture colostomy and abdominal cavity irrigation. A follow up operation 2 months later for colostomy repair completed the patient's recovery.
URI
http://dspace.inha.ac.kr/handle/10505/20170
ISSN
0513-5796
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)
Files in This Item:
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