{
  "abstract": "Colorectal barotrauma due to accidental high-pressure compressed air insufflation is rare. Prompt recognition and intervention are critical. In this report, we present a case of accidental anorectal insufflation of compressed air leading to hollow viscus perforation. Radiographs and computed tomography imaging demonstrated massive pneumoperitoneum, pneumomediastinum, dilated small bowel loops, and diffuse sigmoid wall edema. Emergency laparotomy revealed a 3 cm × 4 cm perforation at the rectosigmoid junction. A Hartmann’s procedure was performed with thorough peritoneal lavage and pelvic drainage. The patient recovered well postoperatively and was extubated on postoperative day 1 with full clinical stabilization achieved by day 4. In conclusion, high-pressure colorectal barotrauma can result in large perforations and massive extraperitoneal and intraperitoneal air leakage. Rapid imaging and emergent surgical intervention are essential to prevent morbidity and mortality. Hartmann’s procedure remains an effective management strategy with improved prognosis in patients with significant contamination and large colorectal perforations.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India",
    "Department of Academics, HCG Manavata Cancer Centre, Nashik, Maharashtra, India"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Pushkar Galam"
    },
    {
      "affs": [
        0
      ],
      "name": "Viren Raj Nagarkar"
    },
    {
      "affs": [
        0
      ],
      "name": "Dakshyani Nirhale"
    },
    {
      "affs": [
        0
      ],
      "name": "Kishor Jeughale"
    },
    {
      "affs": [
        1
      ],
      "name": "Yasam Venkata Ramesh"
    },
    {
      "affs": [
        0
      ],
      "name": "Pavan Goud Pasham"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0jh97q0d5d8vs.bib",
  "cited_by": 0,
  "doi": "10.4103/aam.aam_315_26",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13734649/",
  "id": "0jh97q0d5d8vs",
  "issns": [
    "1596-3519",
    "0975-5764"
  ],
  "landing_url": "https://doi.org/10.4103/aam.aam_315_26",
  "language": "en",
  "licence": "CC-BY-NC-SA-4.0",
  "licence_label": "CC BY-NC-SA 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Abdominal Surgery and Complications"
    ]
  ],
  "openalex": "W7167036671",
  "pdf_url": null,
  "pmcid": "PMC13734649",
  "pmid": "42388133",
  "published": "2026-07-01",
  "publisher": "Wolters Kluwer -- Medknow Publications",
  "ris": "https://research.draconitic.com/paper/0jh97q0d5d8vs.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:24:05Z",
      "native_id": "PMC13734649",
      "source": "pmc",
      "url": "https://doi.org/10.4103/aam.aam_315_26"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Abdominal Surgery and Complications",
      "subfield": "surgery"
    }
  ],
  "title": "Barotrauma-induced Rectosigmoid Perforation Following Accidental High-pressure Compressed Air Insufflation: A Rare Case Report",
  "title_text": "Barotrauma-induced Rectosigmoid Perforation Following Accidental High-pressure Compressed Air Insufflation: A Rare Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:24:05Z",
  "url": "https://research.draconitic.com/paper/0jh97q0d5d8vs",
  "venue": "Annals of African Medicine",
  "versions": []
}