A CASE REPORT OF A PNEUMATIC COLON INJURY FOLLOWING HIGH PRESSURE BLOW GUN DUST CLEANER SPRAY TO PERINEUM

Dr. Nina M. Shah, Dr. Vipul Patel, Dr. Swati Mohanty, Dr. Hiral C. Chauhan

Abstract


INTRODUCTION
A pneumatic tool such as blow gun dust cleaner (BGDC) is a
tool driven by a gas, usually compressed air supplied through
an air compressor. It is popular and readily available in the do
it yourself market and common in small family industrial and
manufacturing settings in Taiwan. The rst case of pneumatic
rupture of the colon was reported by Stone [1]. Industrial
accident and perineal blasting with compressed air had been
commonly reported in adult and results in colon injury either
with or without perforation. We present a case of 15 year old
boy with tension pneumoperitoneum and transverse colon
perforation associated with multiple site non perforated colon
injury secondary to spraying of the perineum using high
pressure BGDC.


Full Text:

PDF

References


I.L. Rosenberg, F.G. Smiddy, Insufflation injury of the bowel, Arch. Surg. 105(1972) 113–115.

H. Kampmann, H. Kijewski, Perforation of the large intestine caused by compressed air: experimental studies reconstructing compressed air insufflation, Arch. Kriminol. 171 (1983) 173–181.

E.W. Andrews, Pneumatic rupture of the intestine, a new type of industrial accident, Surg. Gynecol. Obstet. 12 (1911) 63.

J.A. Woltjen, A retrospective analysis of cecal barotrauma caused by colonoscope air flow and pressure, Gastrointest. Endosc. 61 (2005) 37–45.

C.M. Brayko, R.A. Kozarek, R.A. Sanowski, T. Howells, Diverticular rupture during colonoscopy. Fact or fancy? Dig. Dis. Sci. 29 (1984) 427–431.

A.J. Kuta, R.M. Benator, Intussusception hydrostatic pressure equivalents for

barium and meglumine sodium diatrizoate, Radiology 175 (1990) 125–126.

T.W. Riebel, R. Nasir, K. Weber, US-guided hydrostatic reduction of intussusception in children, Radiology 188 (1993) 513–516.

W.E. Shiels 2nd, C.K. Maves, G.L. Hedlund, D.R. Kirks, Air enema for diagnosis and reduction of intussusception: clinical experience and pressure correlates, Radiology 181 (1991) 169–172.

R. Vick, Contemporary Medical Physiology, Addison–Wesley, CA, 1984.

V.W. Vanek, M. Al-Salti, Acute pseudo-obstruction of the colon (Ogilvie’s syndrome): an analysis of 400 cases, Dis. Colon Rectum 29 (1986) 203–210.


Refbacks

  • There are currently no refbacks.