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Colon Perforation by Compressed Air

A Case Report and Short Review of Literature

Das, Siddhartha MBBS, MD*; Hanuman, Srinivas Bheemanathi MBBS, MD; Toi, Pampa Ch MBBS, MD; Subramania, Deepak Barathi MBBS, MD; Yanamadala, Siva Pradeep MBBS, MD§

The American Journal of Forensic Medicine and Pathology: July 12, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PAF.0000000000000499
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Barotrauma-associated perforation of the colon is not common and usually occurs due to the passage of compressed air through the anus. Most of the cases are accidental and done for fun often at the victim's workplace. Therefore, it is necessary that the workers should be made aware of the dangers of the equipment they regularly use at their workplace. Here, we describe one such case where a rice mill worker died when compressed air through an air pump pipe entered his rectum. His chief complaint was abdominal pain and breathing difficulty. Computed tomography scan of the abdomen and thorax showed pneumoperitoneum, pneumomediastinum, and soft tissue emphysema. There was a complete tear in the rectosigmoid junction of the colon. The mucosa was deeply hemorrhagic and congested. Histopathology of this segment showed hemorrhagic necrosis of the mucosa.

From the *Department of Forensic Medicine and Toxicology,

Department of Pathology,

Department of Radiology, and

§Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Manuscript received March 17, 2019; accepted May 7, 2019.

The authors report no conflict of interest.

Reprints: Siddhartha Das, MBBS, MD, Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantari Nagar, Puducherry 605006, India. E-mail: sendsids@gmail.com.

© 2019 by Lippincott Williams & Wilkins.