RESUMO
Introduction: Tension Pneumoperitoneum is a rare andfatal form of abdominal compartment syndrome. It causesan abrupt rise of intra-abdominal pressure and leads tohemodynamic instability and multi-organ failure. Tensionpneumoperitoneum can be caused generally by sepsis, severeabdominal trauma, and gastric perforation. it is extremelyrare to see this tension pneumoperitoneum in a case ofself-harm.Case report: We present a case report of a 37-year-old malewith abdominal injury with intend to self-harm. He presentedto the emergency department in AL-Sader teaching hospital inAl Najaf city in Iraq, with hemodynamic instability. He waspromptly diagnosed with tension pneumoperitoneum withthe aid of x rays and clinical judgment. After decompression,patient was successfully treated with laparotomy, bowelresection and stoma formation.Conclusion: Although it is rare to see tensionpneumoperitoneum due to self-harm, early diagnosis andmanagement are vital to prevent mortality and morbidity insimilar cases.
RESUMO
Post-partum intrauterine contraceptive device inserted during caesarean section provides long acting reversible contraception to women soon after birth. It is now well accepted for its safety and efficacy. Uterine perforation, which is one of the most serious complication of PPIUCD has rarely been reported following intracaesarean insertion. The thick uterine wall and placement under direct vision helps prevent perforation. However, migration of IUCD to peritoneal cavity, causing perforation of several adjacent organs can occur due to improper closure of the uterine incision. Migration to sigmoid colon is an extremely rare complication. Authors present the case of a 29-year-old woman who had a Cu T 380 A insertion during Caesarean section. After 12 months of insertion, the patient suffered abdominal pain gradually increasing in intensity and frequent episodes of bleeding per rectum. Laparoscopic exploration revealed IUCD perforating the sigmoid colon completely and adhesions of bowel loops to the sigmoid colon. Extraction using laparoscopic method by gently pulling the threads was unsuccessful and the patient was managed by laparotomy.
RESUMO
Laser ablation of fistula tract is a safe, effective, sphincter-preserving therapy that can be successfully performed by surgeons. Various studies and papers have been published advocating the use of lasers. However clinical experience and technical expertise is necessary for the use of lasers. Here we present a case of a 45 year old male presenting with acute abdomen following laser ablation of fistula in ano. The patients X-Ray abdomen showed free gas under the diaphragm and was explored. The exploration revealed a pyoperitoneum and a sigmoid perforation for which closure of perforation and a diverting colostomy was done. The patient was further operated for fistula excision and Seton suturing and is planned for colostomy closure.
RESUMO
Post electric burn sigmoid perforation is a rare but dreadful complication. It can lead to increased chances of mortality/morbidity if any delay is made during diagnosis or active management. We report a case of electric current burn on left hand, forearm, arm and shoulder with perforation of sigmoid colon with successful management by primary closure.