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Not a Common Rectosigmoid Perforation.

Rizwan Ishtiaq1, Khurram Niaz2, Darakshan Masood3

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Chronic mud intake can cause rare intestinal perforations. Early diagnosis of rectosigmoid perforation from soil ingestion is crucial to prevent fatal outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Gastrointestinal perforation is a known complication of trauma, homicide, and medication use (e.g., aspirin).
  • Intestinal perforation due to chronic ingestion of soil, mud, or clay is exceptionally rare, with limited documented cases.

Observation:

  • This report details the first case from Pakistan involving rectosigmoid perforation.
  • The patient was a female with a history of chronic mud consumption.

Findings:

  • The rectosigmoid perforation was directly attributed to the long-term ingestion of mud.
  • This highlights a rare etiological cause of intestinal injury.

Implications:

  • Early diagnosis of mud-induced intestinal perforation is critical for timely intervention.
  • Prompt management is essential to avert potentially fatal complications associated with gastrointestinal perforation.