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Tension pneumoperitoneum following colonic perforation due to barotrauma
  1. Rashmi Vijaya Kumar,
  2. Oseen Hajilal Shaikh,
  3. Chellappa Vijayakumar and
  4. Uday Shamrao Kumbhar
  1. Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}


Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. There was also evidence of contusion in the caecum and ascending colon. Primary repair of the perforation and repair of the serosal tears were done along with a covering loop ileostomy.

  • General surgery
  • Gastrointestinal surgery
  • Surgery

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  • Contributors RVK: preparation of the manuscript. OHS: collection of data. CV: interpretation of data. USK: critical review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.