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KMID : 0385920170280050535
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Journal of the Korean Society of Emergency Medicine
2017 Volume.28 No. 5 p.535 ~ p.538
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Rectal Perforation with Pneumoperitoneum Caused by Compressed Air
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Cho Won-Jin
Lee Sang-Hun
Kim Jae-Seong
Doh Han-Ho
Seo Jun-Seok
Lee Jung-Hun
Lee Seung-Chul
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Abstract
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Compressed air can cause serious damage to internal organs. The stomach is an organ that is rarely perforated due to its elasticity. However, intestines are weaker and thinner compared to the stomach. A 40-year-old male came to the emergency room with severe abdominal pain due to dyspnea. The patient experienced abdominal pain right after his coworker shot compressed air into the patient’s pants. The patient suffered from a rigid abdomen, and bed-side ultrasonography was carried out as soon as possible. Pneumoperitoneum was diagnosed by portable X-ray. After computed tomography, emergency paracentesis was carried out for decompression. After emergency paracentesis, the patient’s symptoms and vital signs were stabilized. After the procedure, the patient had an emergency laparotomy.
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KEYWORD
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Pneumoperitoneum, Intestinal perforation, Compressed air
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