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J Korean Soc Emerg Med > Volume 28(5); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(5): 535-538.
압축 공기로 인한 직장 천공 및 기복증 1례
조원진, 이상헌, 김재승, 도한호, 서준석, 이정훈, 이승철
동국대학교 일산병원 응급의학과
Rectal Perforation with Pneumoperitoneum Caused by Compressed Air
Wonjin Cho, Sanghun Lee, Jae Seong Kim, Han Ho Do, Jun Seok Seo, Jeong Hun Lee, Seung Chul Lee
Department of Emergency Medicine, Dongkuk University Ilsan Hospital, Dongkuk University College of Medicine, Goyang, Korea
Correspondence  Sanghun Lee ,Tel: 031-961-7777, Fax: 031-961-7529, Email: em.sanghun@gmail.com,
Received: July 5, 2017; Revised: July 6, 2017   Accepted: August 16, 2017.  Published online: October 31, 2017.
ABSTRACT
Compressed air can cause serious damage to internal organs. The stomach is an organ that is rarely perforated due to its elasticity. However, intestines are weaker and thinner compared to the stomach. A 40-year-old male came to the emergency room with severe abdominal pain due to dyspnea. The patient experienced abdominal pain right after his coworker shot compressed air into the patient’s pants. The patient suffered from a rigid abdomen, and bed-side ultrasonography was carried out as soon as possible. Pneumoperitoneum was diagnosed by portable X-ray. After computed tomography, emergency paracentesis was carried out for decompression. After emergency paracentesis, the patient’s symptoms and vital signs were stabilized. After the procedure, the patient had an emergency laparotomy.
Key words: Pneumoperitoneum, Intestinal perforation, Compressed air
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