{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:52Z","timestamp":1756339552204,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,6,13]]},"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. There was also evidence of contusion in the caecum and ascending colon. Primary repair of the perforation and repair of the serosal tears were done along with a covering loop ileostomy.<\/jats:p>","DOI":"10.1136\/bcr-2022-250043","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T10:45:42Z","timestamp":1656067542000},"page":"e250043","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tension pneumoperitoneum following colonic perforation due to barotrauma"],"prefix":"10.1136","volume":"15","author":[{"given":"Rashmi Vijaya","family":"Kumar","sequence":"first","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8183-6840","authenticated-orcid":false,"given":"Oseen Hajilal","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4162-7008","authenticated-orcid":false,"given":"Chellappa","family":"Vijayakumar","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-082X","authenticated-orcid":false,"given":"Uday Shamrao","family":"Kumbhar","sequence":"additional","affiliation":[{"name":"Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,6,24]]},"reference":[{"key":"2025082710371069000_15.6.e250043.1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i4.425"},{"key":"2025082710371069000_15.6.e250043.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00678564"},{"key":"2025082710371069000_15.6.e250043.3","first-page":"301","article-title":"BehandlungsstrategiebeiiatrogenerDickdarmperforation [Treatment strategy in iatrogenic perforation of the large intestine]","volume":"118","author":"Lippert","year":"2001","journal-title":"KongressbdDtschGesChirKongr"},{"key":"2025082710371069000_15.6.e250043.4","first-page":"206","article-title":"Compressed air injury of the colon--delayed presentation","volume":"21","author":"Marwah","year":"2002","journal-title":"Indian J Gastroenterol"},{"key":"2025082710371069000_15.6.e250043.5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-966266"},{"key":"2025082710371069000_15.6.e250043.6","doi-asserted-by":"publisher","DOI":"10.1136\/gut.51.4.600"},{"key":"2025082710371069000_15.6.e250043.7","doi-asserted-by":"crossref","first-page":"179","DOI":"10.3346\/jkms.1996.11.2.179","article-title":"Colorectal injury by compressed air--a report of 2 cases","volume":"11","author":"Suh","year":"1996","journal-title":"J Korean Med Sci"},{"key":"2025082710371069000_15.6.e250043.8","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00384-005-0752-3","article-title":"Non-iatrogenic perforation of the colon due to acute barotrauma","volume":"22","author":"Coffey","year":"2007","journal-title":"Int J Colorectal Dis"},{"key":"2025082710371069000_15.6.e250043.9","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1080\/00365520410010599","article-title":"Sigmoid perforation by compressed carbon dioxide","volume":"40","author":"Ikapischke","year":"2005","journal-title":"Scand J Gastroenterol"},{"key":"2025082710371069000_15.6.e250043.10","first-page":"793","article-title":"Colorectal blowout from compressed air: case report","volume":"52","author":"Zunzunegui","year":"2002","journal-title":"J Trauma"},{"key":"2025082710371069000_15.6.e250043.11","doi-asserted-by":"crossref","unstructured":"Choi JY , Park KS , Park TW , et al . Colon barotrauma caused by compressed air. Intest Res 2013;11 doi:10.5217\/ir.2013.11.3.213","DOI":"10.5217\/ir.2013.11.3.213"},{"key":"2025082710371069000_15.6.e250043.12","doi-asserted-by":"crossref","DOI":"10.1055\/s-2008-1077562","article-title":"Cat scratch colon is caused by barotrauma secondary to insufflation during colonoscopy","volume":"40","author":"Baudet","year":"2008","journal-title":"Endoscopy"},{"key":"2025082710371069000_15.6.e250043.13","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-020-02437-2","article-title":"Tension pneumoperitoneum caused by intestinal perforation from underlying colon cancer: a case report","volume":"14","author":"Joo","year":"2020","journal-title":"J Med Case Rep"},{"key":"2025082710371069000_15.6.e250043.14","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2009.10.1.63"},{"key":"2025082710371069000_15.6.e250043.15","first-page":"233","article-title":"Barotrauma-induced tension pneumoperitoneum","volume":"54","author":"Canivet","year":"2003","journal-title":"Am J Surg"},{"key":"2025082710371069000_15.6.e250043.16","article-title":"Tension pneumoperitoneum: management of a surgical emergency","volume":"30","author":"Milanchi","year":"2007","journal-title":"Surgical Rounds"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:37:21Z","timestamp":1756316241000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":16,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,24]]},"published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1136\/bcr-2022-250043"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250043","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}