A Rare Case Report of Colonic Perforation and Gangrene: A Sequelae of Self-Inflicted Transanal Compressed Air Injury

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

We report a case of a male patient aged 20 years who presented to us with anal bleed, pain and distension of abdomen, and severe breathlessness following a self-thrusting of a vacuum blower pipe into the anal orifice for sexual stimulation.

Abstract

In the present days of industrialization, use of compressed air jets is common. Although industries provide employment to the population at large, the misuse of pneumatic equipment at the workplace has relatively increased. We report a case of a male patient aged 20 years who presented to us with anal bleed, pain and distension of abdomen, and severe breathlessness following a self-thrusting of a vacuum blower pipe into the anal orifice for sexual stimulation. He was investigated and underwent emergency exploratory laparotomy with total colectomy of the gangrenous colon and end ileostomy. Postoperatively, the patient succumbed to a cardiac event.

Keywords: Colonic perforation, Compressed air injury, Bowel gangrene.

References

Brown, R.K., Dwinelle, J.H., (1942). Rupture of colon by compressed air. Report of three cases. Ann Surg, 115(1):13-20.

https://doi.org/10.1097/00000658-194201000-00003

Burt, A.V., (1931). Pneumatic rupture of intestinal canal with experimental data showing the mechanism of perforation and the pressure required. Arch Surg, 22(6):875-902.

https://doi.org/10.1001/archsurg.1931.01160060003001

Clarke, D.L., Buccimazza, I., Anderson, F.A., Thompson, S.R., (2005). Colorectal foreign bodies. Colorectal Dis. 7(1):98-103.

https://doi.org/10.1111/j.1463-1318.2004.00699.x