Title: Unusual Causes of Large Bowel Perforation – A Report of Three Cases
Authors: Govindappa Saroja Murali, Shubhakar Bhandary
DOI: http://dx.doi.org/10.18535/jmscr/v4i8.11
Large bowel perforations are commonly caused due to malignancy and inflammatory disorders. Large bowel perforations due to causes like stercoral perforation, idiopathic perforation and spontaneous perforation associated with rectal prolapse are very rare. Though uncommonly seen, these perforations are managed clinically in a similar way as perforations due to other causes with differences in managing the underlying condition. The type of surgical intervention required depends on a variety of factors like the duration, amount of fecal contamination, patient’s general condition and the underlying pathology. We report such three cases of very rare causes of perforation of large bowel with review of literature. 1. Papapolychroniadis C, Kaimakis D, Giannoulis K, Parlapani A, Karpini E, Georgiou M, Giala M, Harlaftis N. Spontaneous rupture of the rectosigmoid with small bowel evisceration through the anus. Tech Coloproctol2004; 8:126–8. 2. Morris AM, Setty SP, Standage BA, Hansen PD. Acute transanal evisceration of the small bowel: report of a case and review of the literature. Dis Colon Rectum 2003;46:1280–3. 3. Walsh T, O’Brien D, Khawaja N, Ryan R, Lenehan P. Bowel evisceration. Ir Med J 2004; 97:20–21. 4. JoonJeong, JoonSeong Park, Chang GyooByun, Dong Sup Yoon, Seung Kook Sohn, Yoon Ho Lee, Hoon Sang Chi. Rupture of the rectosigmoid with evisceration of the small bowel through the anus. Yonsei Medical Journal 2000;41(2):289-92. 5. Hovey MA, Metcalf AM. Incarcerated rectal prolapse – rupture and ileal evisceration after failed reduction. Dis Colon Rectum 1997;40:1254-7. 6. T. D. Haley, C. Long, and B. D. Mann. Stercoral perforation of the colon: a complication of methadone maintenance. Journal of Substance Abuse Treatment 1998;15(5):443–444. 7. D. J. Tessier, E. Harris, J. Collins, and D. J. Johnson. Stercoral perforation of the colon in a heroin addict.International Journal of Colorectal Disease 2002; 17(6):435–437. 8. R. Haddad, G. Bursle, and B. Piper. Stercoral perforation of the sigmoid colon. ANZ Journal of Surgery 2005;75(4):244–246. 9. Basile M, Montini F, Cipollone G, Errichi BM. Spontaneousperforation of large intestine. Ann ItalChir1992;63(5):625–629. 10. Kasahara Y, Matsumoto H, Umemura H, Shirafa S, Kuyam. Idiopathic perforation of sigmoid colon in Japan. World J Surg1981;5(1):125–128.Abstract
References