Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum

Edgar D. Sy, Yin I. Chiu, Yan Shen Shan, Roger L. Ong

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction A pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the colon due to its high pressure and high flow rate.

Presentation of case We present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient's family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and colon dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the colon and a minute perforation of transverse colon. Postoperative reinvestigation revealed that the patient's perineum was sprayed, using blow gun dust cleaner.

Discussion Air from pneumatic tools produces column of air at pressure of 3.5-8.8 kg/cm2 and pressure greater than the resting anal pressure of 0.109 kg/cm2 force air to enter the colon when the perineum is sprayed. Different degree of colon injury results when airflow is greater than 1.46 L/m, and/or intraluminal pressure greater than 0.109 kg/cm2. In most children, initial anxiety to tell the truth result in difficulty to obtain good history.

Conclusion Spraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site colon injury and tension pneumoperitoneum due to colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis.

Original languageEnglish
Pages (from-to)218-221
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume6
DOIs
Publication statusPublished - 2015

Fingerprint

Perineum
Firearms
Dust
Colon
Pressure
Wounds and Injuries
Pneumoperitoneum
Air Pressure
Air
History
Compressed Air
Ecchymosis
Transverse Colon
Ascitic Fluid
Peritonitis
Tears
Laparotomy
Early Diagnosis
Dilatation
Anxiety

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{9b80ed91ff844a0ba8f942dfa041c48d,
title = "Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum",
abstract = "Introduction A pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the colon due to its high pressure and high flow rate.Presentation of case We present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient's family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and colon dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the colon and a minute perforation of transverse colon. Postoperative reinvestigation revealed that the patient's perineum was sprayed, using blow gun dust cleaner.Discussion Air from pneumatic tools produces column of air at pressure of 3.5-8.8 kg/cm2 and pressure greater than the resting anal pressure of 0.109 kg/cm2 force air to enter the colon when the perineum is sprayed. Different degree of colon injury results when airflow is greater than 1.46 L/m, and/or intraluminal pressure greater than 0.109 kg/cm2. In most children, initial anxiety to tell the truth result in difficulty to obtain good history.Conclusion Spraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site colon injury and tension pneumoperitoneum due to colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis.",
author = "Sy, {Edgar D.} and Chiu, {Yin I.} and Shan, {Yan Shen} and Ong, {Roger L.}",
year = "2015",
doi = "10.1016/j.ijscr.2014.12.022",
language = "English",
volume = "6",
pages = "218--221",
journal = "International Journal of Surgery Case Reports",
issn = "2210-2612",
publisher = "Elsevier BV",

}

Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum. / Sy, Edgar D.; Chiu, Yin I.; Shan, Yan Shen; Ong, Roger L.

In: International Journal of Surgery Case Reports, Vol. 6, 2015, p. 218-221.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pneumatic colon injury following high pressure blow gun dust cleaner spray to the perineum

AU - Sy, Edgar D.

AU - Chiu, Yin I.

AU - Shan, Yan Shen

AU - Ong, Roger L.

PY - 2015

Y1 - 2015

N2 - Introduction A pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the colon due to its high pressure and high flow rate.Presentation of case We present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient's family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and colon dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the colon and a minute perforation of transverse colon. Postoperative reinvestigation revealed that the patient's perineum was sprayed, using blow gun dust cleaner.Discussion Air from pneumatic tools produces column of air at pressure of 3.5-8.8 kg/cm2 and pressure greater than the resting anal pressure of 0.109 kg/cm2 force air to enter the colon when the perineum is sprayed. Different degree of colon injury results when airflow is greater than 1.46 L/m, and/or intraluminal pressure greater than 0.109 kg/cm2. In most children, initial anxiety to tell the truth result in difficulty to obtain good history.Conclusion Spraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site colon injury and tension pneumoperitoneum due to colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis.

AB - Introduction A pneumatic tool or air tool such as blow gun dust cleaner is a tool driven by compressed air and spraying of the perineum can insufflate the colon due to its high pressure and high flow rate.Presentation of case We present a case of 4 year old boy who developed sudden onset of tense abdominal distention and developed peritonitis. Patient's family initially denied a history of trauma. Radiologic examination showed pneumoperitoneum and colon dilatation. Exploratory laparotomy revealed a tension pneumoperitoneum, bloody ascitic fluid, multiple site of ecchymosis and serosal tear of the colon and a minute perforation of transverse colon. Postoperative reinvestigation revealed that the patient's perineum was sprayed, using blow gun dust cleaner.Discussion Air from pneumatic tools produces column of air at pressure of 3.5-8.8 kg/cm2 and pressure greater than the resting anal pressure of 0.109 kg/cm2 force air to enter the colon when the perineum is sprayed. Different degree of colon injury results when airflow is greater than 1.46 L/m, and/or intraluminal pressure greater than 0.109 kg/cm2. In most children, initial anxiety to tell the truth result in difficulty to obtain good history.Conclusion Spraying of the perianal with excessive pneumatic force of greater than the resting anal pressure and high air flow rate causes multiple site colon injury and tension pneumoperitoneum due to colon perforation. Parent should be caution in children playing with high pressure pneumatic tool, and the importance of history is emphases for early correct diagnosis.

UR - http://www.scopus.com/inward/record.url?scp=84919786205&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919786205&partnerID=8YFLogxK

U2 - 10.1016/j.ijscr.2014.12.022

DO - 10.1016/j.ijscr.2014.12.022

M3 - Article

AN - SCOPUS:84919786205

VL - 6

SP - 218

EP - 221

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

SN - 2210-2612

ER -