A case of self-induced hydrostatic colonic perforation
Author
Source
Issue
Vol. 2021, Issue 1 (30 Apr. 2021), pp.1-6, 6 p.
Publisher
Publication Date
2021-04-30
Country of Publication
Qatar
No. of Pages
6
Main Subjects
Abstract EN
Introduction: Constipation is a common complaint.
The elderly are five times more prone to constipation than young people because of the effects of medication, immobility, and a blunted urge to defecate.
Many of these patients are demented, have cognitive deficits, or suffer from a psychiatric disorder.
Colonic perforation caused by hydrostatic pressure is rare, and this typically occurs during fluoroscopic studies resulting when there is excessive intraluminal colonic pressure.
Self-induced colonic perforation is even rarer.
Case report: We report the case of a 95-year-old man who presented to the emergency department with an acute surgical abdomen and symptoms of sepsis.
He had a history of longstanding constipation.
He gave a history of frequent insertion of a rubber hose into his anal canal to relieve his constipation while rinsing his anus after defecation.
After resuscitation, an emergency operation was performed, and sigmoid colon perforation was found in addition to pre-existing diverticular disease.
Hartmann’s procedure was performed after abdominal washout.
Unfortunately, the patient died of multi-organ failure two days after surgery.
Conclusion: Self-induced hydrostatic colonic perforation is rare.
The consequence is fatal, especially in the elderly or in cases of delayed presentation.
American Psychological Association (APA)
al-Zahrani, Hasan Ali. 2021. A case of self-induced hydrostatic colonic perforation. Qatar Medical Journal،Vol. 2021, no. 1, pp.1-6.
https://search.emarefa.net/detail/BIM-1432167
Modern Language Association (MLA)
al-Zahrani, Hasan Ali. A case of self-induced hydrostatic colonic perforation. Qatar Medical Journal No. 1 (2021), pp.1-6.
https://search.emarefa.net/detail/BIM-1432167
American Medical Association (AMA)
al-Zahrani, Hasan Ali. A case of self-induced hydrostatic colonic perforation. Qatar Medical Journal. 2021. Vol. 2021, no. 1, pp.1-6.
https://search.emarefa.net/detail/BIM-1432167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-1432167