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Non Iatrogenic Colonic Barotrauma- A Case Report |
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Published: July 1, 2022 | DOI: https://doi.org/10.7860/IJARS/2022/53533.2806 |
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Atul Kumar Gupta, Ankurdeep Singh, Mohit Kumar Mathur, Samaksh Kumar Giri 1. Associate Professor, Department of General Surgery, GIMS, Noida, Ghaziabad, Uttar Pradesh, India. 2. Assistant Professor, Department of General Surgery, GIMS, Noida, Ghaziabad, Uttar Pradesh, India. 3. Associate Professor, Department of General Surgery, GIMS, Noida, Ghaziabad, Uttar Pradesh, India. 4. Senior Resident, Department of General Surgery, GIMS, Noida, Ghaziabad, Uttar Pradesh, India. |
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Correspondence Address : Atul Kumar Gupta, Ankurdeep Singh, Mohit Kumar Mathur, Samaksh Kumar Giri, Dr. Atul Kumar Gupta, House No 18, 3rd E, Nehru Nagar, Gims, Noida, Ghaziabad, Uttar Pradesh, India. E-mail: atulsshubhig@gmail.com |
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| ABSTRACT |  | |||||
: Barotrauma is injury caused by high pressure. Colonic barotrauma can range from only mucosal injury to multiple perforations. Most common cause of colonic barotrauma is due to air insufflation during colonoscopy. Here, we are presenting the case of a 20-year-old young male boy working in a wheat flour packaging factory. He suffered sigmoid colon perforation as a result of non iatrogenic barotrauma. Sigmoid perforation was closed in two layers with diversion loop ileostomy created and seromuscular injuries repaired. Ileostomy was closed after three months. In this case, high pressure pipe was not inserted inside but directed from a distance. Machines used in the industries deliver compressed air at much higher pressure than the one required to perforate intestine. Such high pressure along with funnel like configuration of thighs, buttocks and perineum facilitates easy entry of air in the colon. Air can enter through anus even if the air hose is kept near it for few seconds without actually inserting inside. Thus, it is important to make workers aware of hazardous consequences of the machines used. | ||||||
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| Keywords : Colon, Distance, Perforation, Pneumoperitonium | ||||||
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DOI and Others :
DOI: 10.7860/IJARS/2022/53533.2806
Date of Submission: Dec 04, 2021 Date of Peer Review: Jan 20, 2022 Date of Acceptance: Feb 16, 2022 Date of Publishing: Jul 01, 2022 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? No • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Dec 06, 2021 • Manual Googling |
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Case report
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