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*

This case describes the severe risks of using compressed air for sexual stimulation, highlighting the urgent need for improved safety awareness and preventive measures.

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

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