Mansab Ali, Hammad Rana, Faizul Hasan, Tahir Ch, Atif, Sabir.
Compressed air injury to the colon/rectum and its sequelle.
Pak J Med Health Sci Jan ;4(4):409-12.

Colonic injury due to pressurized air is a unique pathology which is now being reported increasingly with the extensive use of compressed air in this industrial era (1). We are reporting 10 cases of colorectal injures due to compressed air directed to the anus while playing practical jokes at work place. All the patients presented to the A/E with the sign and symptoms of peritonitis. They were diagnosed clinically and confirmed with the help of X. ray’s and USG showing dilated colon and gas under the diaphragm. None of our patient had respiratory distress. After preoperative resuscitation, all patients underwent explorative laparotomy. Perforation was sutured and a proximal colostomy was made in the patient with multiple perforations. Patients with single perforation was brought out as colostomy. The colostomy was reversed after 6-8 weeks of surgery. All of them made uneventful recovery.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com