{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:03:44Z","timestamp":1782842624242,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/><jats:p>To present a case report of trans-anal barotrauma by high-pressure compressed air jet as a dangerous practical joke, that is, playful insufflation of high-pressure air jet through the anal orifice resulting in sigmoid perforation. The patient presented to emergency a day later with complaints of severe pain in the abdomen and abdominal distension following insufflation of high-pressure air jet through the anus. On examination, he had signs suggestive of perforation peritonitis and x-ray of the abdomen showed gas under the diaphragm. An emergency exploratory laparotomy was performed which revealed a 4-cm perforation in the sigmoid colon. Resection of the segment containing perforation along with the surrounding devitalised part was done with double-barrel colostomy. Reversal of colostomy was done after 8\u2005weeks. Follow-up was uneventful.<\/jats:p>","DOI":"10.1136\/bcr-2012-006548","type":"journal-article","created":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T15:06:33Z","timestamp":1343833593000},"page":"bcr2012006548","source":"Crossref","is-referenced-by-count":6,"title":["Trans-anal barotrauma by compressed air leading to sigmoid perforation due to a dangerous practical joke"],"prefix":"10.1136","volume":"2012","author":[{"given":"Harvinder Singh","family":"Pahwa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awanish","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Srivastava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.1","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1016\/S0039-6109(16)44688-8","article-title":"Colorectal trauma","volume":"68","author":"Falcone","year":"1988","journal-title":"Surg Clin North Am"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.2","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0889-8553(21)00484-2","article-title":"Rectal trauma","volume":"16","author":"Abcarian","year":"1987","journal-title":"Gastroenterol Clin North Am"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.3","first-page":"409","article-title":"Compressed air injury to the colon\/rectum and its sequels","volume":"4","author":"Ali","year":"2010","journal-title":"Pak J Med Health Sci"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.4","first-page":"54","article-title":"Trans-anal rectal injuries","volume":"49","author":"El-Ashaal","year":"2008","journal-title":"Singapore Med J"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.5","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1980.01380050082020"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.6","first-page":"303","article-title":"Compressed air injury of the colon, a case report","volume":"39","author":"Onyedunma","year":"1987","journal-title":"Trop Geogr Med"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.7","first-page":"173","article-title":"Perforation of the large intestine caused by compressed air. Experimental studies reconstructing compressed air insufflations","volume":"171","author":"Kampmann","year":"1983","journal-title":"Arch Kriminol"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.8","first-page":"63","article-title":"Pneumatic rupture of the intestine or new type of industrial accident","volume":"12","author":"Andrews","year":"1911","journal-title":"Surg Gynecol Obstet"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.9","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1931.01160060003001"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6762-9"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.11","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199011000-00035"},{"key":"2025042702470674000_2012.jul31_1.bcr2012006548.12","doi-asserted-by":"publisher","DOI":"10.1007\/s005950170069"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006548","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:47:14Z","timestamp":1745747234000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006548"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,1]]},"references-count":12,"alternative-id":["10.1136\/bcr-2012-006548"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006548","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,1]]}}}