Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall

Abstract EN

We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall.

He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy.

After CT imaging, he was diagnosed with a large colonic perforation.

Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted.

The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.