TITLE:
Spontaneous Perforation of Colon: A Case Report and Review of Literature
AUTHORS:
Ahmed M. Makki, Soha Hejazi, Nisar Haider Zaidi, Adel Johari, Abdulmalik Altaf
KEYWORDS:
SPC-Spontaneous Colon Perforation, Cecal Perforation, Colon Perforation
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.7,
July
15,
2014
ABSTRACT:
Objective: To
present a case of spontaneous perforation of colon. Introduction: Spontaneous
perforation of colon (SPC) is defined as sudden perforation of apparently
healthy colon in absence of diseases or injury. SPC is an uncommon clinical
entity which is seldom reported in literature, less than 100 cases were
reported. Case report: A 82-year-old gentleman presented to emergency room (ER)
with acute abdominal pain, for few hours duration. Pain started paraumbilically
with sudden onset and then with increasing intensity became generalized. It was
associated with nausea and vomiting. On general examination, he was conscious,
alert. His vital signs: afebrile, pulse: 106/m, B.P: 140/100, local examination
showed generalized abdominal tenderness & guarding with absent intestinal
sounds. P.R. exam showed remnants of stool with blood stain on gloves, no
masses. Computerized tomography (CT) abdomen showed perforation of cecum. He
was taken to operation room (OR) and right hemicolectomy was done. Post
operative period was uneventful and he was discharged in good health. Conclusion: SPC is a serious condition with high morbidity and mortality
due to delay in diagnosis and management so, every effort should be made to make
diagnosis especially in elderly and prompt surgical intervention should be
done.