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Cecum perforation secondary to plunger-induced barotrauma
Jonathan Rubin1, Daniel R Principe2, Blake Movitz1
1University of Illinois, Metropolitan Group Hospitals General Surgery Residency, Advocate Illinois Masonic Hospital, Chicago, IL, USA.
Abstract:
Barotrauma to the colon and rectum is well documented, most commonly due to endoscopic complications. Here, we describe the unique case of a 56-year-old male presenting with peritonitis after self induced barotrauma to his colon following an attempt to alleviate 4-day obstipation with a toilet plunger. Exploratory laparotomy revealed a perforated and gangrenous right colon, which was promptly treated with an open right hemicolectomy and end-loop Prasad ileocolostomy. To our knowledge, this represents the first case of its kind and highlights the distinct pathology for colorectal barotrauma depending on the underlying mechanism of injury.
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