{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:27:00Z","timestamp":1773797220014,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1981,1,1]],"date-time":"1981-01-01T00:00:00Z","timestamp":347155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1981,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>This is a report of a case of idiopathic perforation of the sigmoid colon, a rare condition, and a review of 65 cases collected from the Japanese literature including our own. The ratio of males to females was 42\u223623, the ages ranged from 16 to 87 years, and 68% of the patients were in the sixth decade or older. The perforation sites were in the middle of the sigmoid colon in 43 cases, of which 79% were at the antimesenteric border, and in the rectosigmoid region in 2 cases. Several pathogenetic factors are considered to be responsible for this perforation, among which constipation and raised intra\u2010abdominal or intraluminal pressure may be most important. In the cases associated with constipation, differential diagnosis must be made by histologic examination. Free air under the diaphragm was noted on x\u2010ray in 46% of patients and leukopenia under 4000\/mm<\/jats:bold><jats:sup>3<\/jats:sup><jats:bold>in 35% of the cases. Only 2 patients with confined perforation were diagnosed preoperatively by barium enema x\u2010rays. The overall mortality rate was 35%. Exteriorization or resection of the perforated site resulted in the best prognosis among the various operative procedures. There were 5\u00a0instances of colocutaneous fistula in 13 patients who underwent simple closure of the perforation<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01657857","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T02:34:20Z","timestamp":1115606060000},"page":"125-128","source":"Crossref","is-referenced-by-count":21,"title":["Idiopathic perforation of the sigmoid colon in Japan"],"prefix":"10.1002","volume":"5","author":[{"given":"Yoh","family":"Kasahara","sequence":"first","affiliation":[{"name":"Second Department of Surgery Kinki University School of Medicine Sayama\u2010cho 589 Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Kinki University School of Medicine Sayama\u2010cho 589 Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroya","family":"Umemura","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Kinki University School of Medicine Sayama\u2010cho 589 Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sei","family":"Shirafa","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Kinki University School of Medicine Sayama\u2010cho 589 Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Kuyama","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Kinki University School of Medicine Sayama\u2010cho 589 Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1981,1]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"553","article-title":"Rupture of the sigmoid colon induced by raised intraabdominal pressure (Jpn.)","volume":"13","author":"Kozuki T.","year":"1936","journal-title":"Nippon Geka Hokan"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18005022014"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5237.1422"},{"key":"e_1_2_1_5_1","first-page":"991","article-title":"Idiopathic rectosigmoid perforation","volume":"128","author":"Lyon D.C.","year":"1969","journal-title":"Surg. Gynecol. Obstet."},{"key":"e_1_2_1_6_1","first-page":"756","article-title":"Stercoraceous and idiopathic perforation of the colon","volume":"140","author":"Huttunen R.","year":"1975","journal-title":"Surg. Gynecol. Obstet."},{"key":"e_1_2_1_7_1","first-page":"991","article-title":"Idiopathic rectosigmoid perforation","volume":"128","author":"Edwards H.C.","year":"1969","journal-title":"Surg. Gynecol. Obstet."},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004317809"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004820804"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800560418"},{"key":"e_1_2_1_11_1","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1002\/bjs.18004820804","article-title":"Spontaneous perforation of the normal pelvic colon","volume":"48","author":"Birbis M.P.","year":"1960","journal-title":"Br. J. Surg."},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193709000-00006"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800600117"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800570711"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01657857.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01657857\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01657857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T05:16:11Z","timestamp":1735708571000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01657857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1981,1]]}},"alternative-id":["10.1007\/BF01657857"],"URL":"https:\/\/doi.org\/10.1007\/bf01657857","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1981,1]]}}}