{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:03:10Z","timestamp":1782842590681,"version":"3.54.5"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T00:00:00Z","timestamp":1684108800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,5]]},"abstract":"Key Clinical Message<\/jats:title>The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompression by a wide\u2010bore needle can be done as depicted in our patient to provide immediate relief.<\/jats:p><\/jats:sec>Abstract<\/jats:title>Rectal perforation most commonly occurs due to trauma, but rarely due to a high pressure compressed air passing through the anus as a part of playful joke. Owing to the belief of medico\u2010legal issues and socio\u2010psychological circumstances about the ano\u2010rectal injury, initial approach to the medical facilities might be delayed, causing a delayed presentation and poor prognosis. We report an incident of a young male who presented with tension pneumoperitoneum causing abdominal compartment syndrome with fecal peritonitis due to forceful passing of high\u2010pressure air through his anus. An initial decompression of the abdomen with a wide\u2010bore needle was done at the emergency room. An emergency laparotomy with a primary repair of the rectal perforation by two layered sutures was done followed by a loop colostomy, 10\u2009cm proximal to the injury. Colostomy closure was performed after 4\u2009weeks. Post\u2010operative recovery period was uneventful.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7344","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T04:20:27Z","timestamp":1684210827000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case of tension pneumoperitoneum with fecal peritonitis due to high\u2010pressure air insufflation through the anus"],"prefix":"10.1002","volume":"11","author":[{"given":"Havil Stephen Alexander","family":"Bakka","sequence":"first","affiliation":[{"name":"Department of General Surgery Ramesh Sanghamitra Hospitals Ongole India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perumalla Karthik","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Ramesh Sanghamitra Hospitals Ongole India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5685-6049","authenticated-orcid":false,"given":"Lakshmi Venkata Simhachalam","family":"Kutikuppala","sequence":"additional","affiliation":[{"name":"Department of General Surgery Dr NTR University of Health Sciences Vijayawada India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun Kumar","family":"Suvvari","sequence":"additional","affiliation":[{"name":"Rangaraya Medical College Kakinada India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0733-8912","authenticated-orcid":false,"given":"Samrat Babu","family":"Koirala","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences College of Medicine Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2017.93.1.61"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2067-y"},{"issue":"8","key":"e_1_2_10_4_1","article-title":"A case of pneumatic rectal perforation caused by compressed air","volume":"12","author":"Gupta R","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.12.022"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-005-0752-3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1602182"},{"key":"e_1_2_10_8_1","first-page":"159","article-title":"A rare case of colorectal injury with compressed air","volume":"4","author":"Ergin M","year":"2013","journal-title":"J Med Cases"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.5217\/ir.2013.11.3.213"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T08:47:05Z","timestamp":1692434825000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1002\/ccr3.7344"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7344","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2023-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7344"}}