Colonic Perforation in a Young Tetraplegic Male Caused by Zucchini

Pigac, Biserka; Mašić, Silvija

doi:10.5455/medarh.2016.70.395-397

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Gastric perforation was explained by the higher risk of stress ulcers in patients with spinal cord injury [ 4 , 5 ]. There were only three reported cases of sigmoidal perforation in patients with spinal cord injury [ 6 – 8 ]. Pigac and Masic described a foreign body causing colonic perforation, fecal peritonitis, and death [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…There were only three reported cases of sigmoidal perforation in patients with spinal cord injury [ 6 – 8 ]. Pigac and Masic described a foreign body causing colonic perforation, fecal peritonitis, and death [ 6 ]. Rajan et al described a case of colonic perforation which was precipitated by external suprapubic pressure used for the initiation of micturition (Crede's method) [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Basnayake

Rathnaweera

Jayarajah

et al. 2020

Case Reports in Surgery

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Background. Patients with cervical spinal injury with quadriplegia are at an increased risk of developing serious gastrointestinal complications. We report an unusual case of spontaneous rectosigmoid perforation in a quadriplegic patient. Case Presentation. A 58-year-old man with diabetes mellitus and hypertension presented to the emergency department following a fall from 25 feet of height. He sustained a fifth cervical vertebral fracture with quadriplegia and neurogenic shock. One week later, he developed progressive abdominal distension with tachycardia, low blood pressure, and respiratory distress. His abdomen was soft but had impaired liver dullness. Imaging showed evidence of visceral perforation. He underwent an emergency laparotomy and was found to have a perforation of the antemesenteric border of the rectosigmoid junction with fecal contamination. The perforation was repaired primarily, and a temporary loop ileostomy was created. The patient received intensive care for 4 days, and thereafter, the recovery was uneventful. He was later transferred to the spinal unit for further management. The intraoperative findings, histology, and subsequent colonoscopy did not reveal any underlying cause for the perforation. Conclusions. Clinical signs and symptoms are generally absent in patients following spinal cord injury, and the diagnosis of serious gastrointestinal pathology can be difficult and challenging. We believe that ischemia at the rectosigmoid junction precipitated by multiple factors was the possible reason for the spontaneous perforation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Basnayake

Rathnaweera

Jayarajah

et al. 2020

Case Reports in Surgery

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Current Topics in Acute Abdomen: Causes, Diagnostics, and Emerging Therapies

Varca,

Santos

2024

JBM

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Acute abdomen is a serious clinical condition that requires immediate attention due to its association with intense pain and rapid progression. This article reviews important aspects of the causes, diagnostics, and treatments of acute abdomen. The research highlights the diversity of etiologies, ranging from the most common, such as acute appendicitis, to the less frequent, such as intestinal perforations by foreign bodies. Complex diagnostic methods, including clinical examinations and imaging such as computed tomography, are essential to guide accurate diagnosis, given the overlap of symptoms among different conditions. Therapeutic approaches range from conservative treatments with clinical observation and antibiotic therapy to urgent surgical interventions, such as appendectomy and cholecystectomy. Laparoscopy stands out as a promising approach, offering advantages in terms of recovery and post-operative morbidity. However, the impact of the COVID-19 pandemic has brought additional challenges to the diagnosis and treatment of acute abdomen, with delays and difficulties in accessing healthcare. This review underscores the importance of a multidisciplinary approach and constant updates among healthcare professionals in addressing acute abdomen, aiming for accurate diagnoses and appropriate therapeutic interventions to improve clinical outcomes and reduce morbidity and mortality associated with this complex clinical condition.

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Colonic Perforation in a Young Tetraplegic Male Caused by Zucchini

Cited by 2 publications

References 9 publications

Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury

Current Topics in Acute Abdomen: Causes, Diagnostics, and Emerging Therapies

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