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Sigmoid perforation by compressed carbon dioxide.
Matthias Ikapischke1, Juergen Tepel, Muhdra Pai
1Department of General and Thoracic Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Germany. mkapischke@web.de
Scandinavian Journal of Gastroenterology
|June 4, 2005
Summary
A 35-year-old experienced a recto-sigmoid junction disruption from transanal carbon dioxide (CO2) insufflation using sparkling wine. Surgical repair was successful, highlighting rare injury mechanisms.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Medical Case Reports
Background:
- Self-induced bowel injuries can occur through various accidental mechanisms.
- Transanal insufflation for sexual stimulation is a rare cause of gastrointestinal trauma.
Observation:
- A 35-year-old patient presented with recto-sigmoid junction disruption.
- The injury was caused by carbon dioxide (CO2) from a sparkling wine bottle introduced transanally.
Findings:
- The patient underwent successful resection of the recto-sigmoid junction with primary anastomosis.
- Postoperative recovery was complicated by a wound infection but was otherwise uneventful.
Implications:
- This case highlights an unusual mechanism of self-induced bowel injury.
- Understanding diagnostic pitfalls and pathological pathways is crucial for managing such rare presentations.