A Story of Extraordinary Abdominally Perforation

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dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.contributor.authorEkmekyapar, Muhammed
dc.contributor.authorGurbuz, Sukru
dc.contributor.authorDerya, Serdar
dc.contributor.authorOguzturk, Hakan
dc.contributor.authorYucel, Neslihan
dc.contributor.authorTurtay, Muhammet Gokhan
dc.contributor.authorErcan, Abdullah
dc.date.accessioned2024-08-04T20:56:21Z
dc.date.available2024-08-04T20:56:21Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPneumoperitoneum is the result of a gastrointestinal (GI) tract perforation in more than 90% of cases. Perforation of the stomach or duodenum caused by peptic ulcer is considered the most common cause of pneumoperitoneum. In this article, we present a case of pneumoperitoneum associated with sigmoid colon perforation, which is the result of the patient trying to create a laxative effect by inserting the hose attached to the wash basin into his rectum and opening the water afterwards. An 89 years old male patient was brought to the emergency department with complaints of abdominal pain starting about 2 hours ago. The patient's abdominal ultrasonography showed free fluid up to 10 cm in the lower abdomen. Posterior anterior chest X-ray and direct standing abdominal X-ray of the patient had subdiaphragmatic free air and images with free fluid, pneumoperitoneum and perforation were obtained in contrast enhanced abdominal tomography. As a result of surgery performed by general surgery it was seen approximately 30 cm proximal from the rectumthat there was a 4 cm perforation in the sigmoid colon. We must consider pneumoperitoneum, which is the result of colon perforation especially in elderly patients with acute abdominal pain, to be definitely among our differential diagnoses.en_US
dc.identifier.doi10.33706/jemcr.514083
dc.identifier.endpage2en_US
dc.identifier.issn2149-9934
dc.identifier.issue1en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.33706/jemcr.514083
dc.identifier.urihttps://hdl.handle.net/11616/102251
dc.identifier.volume11en_US
dc.identifier.wosWOS:000605751000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherEmergency Medicine Physicians Assoc Turkeyen_US
dc.relation.ispartofJournal of Emergency Medicine Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSigmoid colon perforationen_US
dc.subjectpneumoperitoneumen_US
dc.subjectacute abdomenen_US
dc.titleA Story of Extraordinary Abdominally Perforationen_US
dc.typeArticleen_US

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