Journal of Angiotherapy
Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
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CASE STUDY   (Open Access)
Contents Vol 5 (2)

Catastrophic Colorectal Injuries Due to Misuse of Compressed Air: A Case Report and Review

Pugazharasan M 1, Aluru Jayakrishna Reddy 1, Manikandan R S 1, Arul M 1*

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Journal of Angiotherapy 5 (2) 1-5 https://doi.org/10.25163/angiotherapy.52621552920201221

Submitted: 29 November 2021 Revised: 08 December 2021  Published: 20 December 2021 

Abstract

Background: The widespread use of compressed air equipment in industrial settings has led to increased incidents of severe injuries resulting from misuse. Notably, the intentional use of compressed air for sexual stimulation, although rare, can cause catastrophic injuries. Methods: We present a case of a 20-year-old male who self-inflicted severe trauma by using a vacuum blower pipe for sexual stimulation. The patient was admitted with anal bleeding, abdominal pain, distension, and breathlessness. Clinical evaluation included imaging and laboratory tests, followed by emergency exploratory laparotomy. Results: The patient was diagnosed with colonic perforation, tension pneumoperitoneum, and fecal peritonitis. Surgical intervention revealed gangrene of the entire colon and multiple perforations. Despite a total colectomy and intensive postoperative care, the patient succumbed to a cardiac event on the second postoperative day. Conclusion: This case highlights the severe risks associated with improper use of compressed air equipment. It underscores the need for heightened awareness and preventive measures to educate individuals about the hazards of such equipment. Early recognition, prompt resuscitation, and timely surgical intervention are crucial for managing these injuries. Enhanced safety practices and education are essential to prevent similar incidents and improve overall safety.

Keywords: Compressed Air Injuries, Colorectal Perforation, Pneumatic Trauma, Autoerotic Misuse, Industrial Safety

References

Andrews, E. W. (1911). Pneumatic rupture of the intestine or new type of industrial accident. Surgery, Gynecology & Obstetrics, 12, 63–64.

Brayko, C. M., Kozarek, R. A., Sanowski, R. A., & Howells, T. (1984). Diverticular rupture during colonoscopy: Fact or fancy? Digestive Diseases and Sciences, 29, 427–431. https://doi.org/10.1007/BF01301589

Brown, C. V., Teixeira, P. G., Furay, E., Sharpe, J. P., Musonza, T., Holcomb, J., et al. (2018). Contemporary management of rectal injuries at level I trauma centers: The results of an American Association for the Surgery of Trauma multi-institutional study. Journal of Trauma and Acute Care Surgery, 84, 225–233. https://doi.org/10.1097/TA.0000000000001627

Huang, C. W. (2009). Barotrauma of the colorectum caused by high-pressure compressed air: A case report. Journal of Taiwan Emergency Medicine, 11, 67–70.

Kim, S. J., Ahn, S. I., Hong, K. C., Kim, J. S., Shin, S. H., & Woo, Z. H. (2000). Pneumatic colonic rupture accompanied by tension pneumoperitoneum. Yonsei Medical Journal, 41, 533–535. https://doi.org/10.3349/ymj.2000.41.5.533

Park, Y. J. (2017). Rectal perforation by compressed air. Annals of Surgical Treatment and Research, 93, 61–63. https://doi.org/10.4174/astr.2017.93.2.61

Steele, S. R., Maykel, J. A., & Johnson, E. K. (2011). Traumatic injury of the colon and rectum: The evidence vs dogma. Diseases of the Colon & Rectum, 54, 1184–1201. https://doi.org/10.1007/DCR.0b013e31821d7e56

Stone, G. W. (1904). Rupture of the bowel caused by compressed air. The Lancet, 2, 216. https://doi.org/10.1016/S0140-6736(01)04866-4

Sy, E. D., Chiu, Y. I., Shan, Y. S., & Ong, R. L. (2015). Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum. International Journal of Surgery Case Reports, 6C, 218–221. https://doi.org/10.1016/j.ijcma.2015.01.018

Waugh, R. L., & Leonard, F. C. (1951). Rupture of the colon due to compressed air, with particular reference to the character of the lesion. Military Surgery, 108, 294–301.

Woltjen, J. A. (2005). A retrospective analysis of cecal barotrauma caused by colonoscope air flow and pressure. Gastrointestinal Endoscopy, 61, 37–45. https://doi.org/10.1016/j.gie.2004.08.008

Yin, W. B., Hu, J. L., Gao, Y., Zhang, X. X., Zhang, M. S., Liu, G. W., et al. (2016). Rupture of sigmoid colon caused by compressed air. World Journal of Gastroenterology, 22, 3062–3065. https://doi.org/10.3748/wjg.v22.i10.3062

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