Details

Autor(en) / Beteiligte

• 전영진
• Young Jin Cheon
• 김명찬
• Myoung Chan Kim
• 한승백
• Seung Baik Han
• 백광제
• Kwang Je Baek
• 김준식
• Jun Sig Kim

Titel

고압에 의한 장파열 - 1례 보고

Ist Teil von

• Daehan oe'sang haghoeji, 1998-06, Vol.11 (1), p.157

Ort / Verlag

대한외상학회

Erscheinungsjahr

1998

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• Rupture of intestine caused by direct pressure from compressed air nozzle is a rare abdominal emergency. Recently, using of compressed gas has been increased and the risk of accident due to improper use of this gas was also increased. We experienced a case of rupture of the colon due to compressed gas delivered through anus as a result of prank. The patient was a 33-year-old man and admitted to the emergency department with severe painful, distended abdomen, and respiratory distress. The patient showed tachypnea, tachycardia, and mild irritability. Supine X-ray film of the abdomen showed marked pneumoperitoneum and elevated diaphragm. After an insertion of the nasogastric tube insertion, decompressive paracentesis to relieve respiratory difficulty was done. After initial management, explo-laparotomy was performed. There was a longitudinal perforation sized by 10cm at antemesenteric border of the sigmoid colon and mucosal and a submucosal tearing of rectal wall sized by 15cm. Primary repair of the rectum and sigmoid colostomy at the site of ruptured portion were performed. The patient was recovered without complication and now waiting for repair of colostomy.