Successful laparoscopic repair of a large traumatic sigmoid perforation | Zendy

Jan Bakker | Zendy; S. Bruin | Zendy

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Successful laparoscopic repair of a large traumatic sigmoid perforation

Author(s) -

Jan Bakker,

S. Bruin

Publication year - 2012

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.14

H-Index - 3

ISSN - 2042-8812

DOI - 10.1093/jscr/2012.2.3

Subject(s) - medicine , perforation , sigmoid colon , anus , surgery , colostomy , abdomen , laparoscopy , sigmoid function , rectum , materials science , machine learning , metallurgy , artificial neural network , computer science , punching

Bowel perforation can be potentially fatal. We describe the case of a 42-year-old male who presented with severe abdominal pain following anal fisting. Clinical examination revealed tenderness of the complete abdomen with signs of peritonism. A CT-scan with rectal contrast showed a perforation of the sigmoid 40 cm above the anus. At laparoscopy, a perforation in the sigmoid colon was found and successfully repaired. Patient recovered uneventful and was discharged in 5 days. We present a unique case of a sigmoid perforation after anal fisting which was laparoscopically repaired without formation of a protective colostomy.

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