{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:30Z","timestamp":1791812790027,"version":"4.3.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Colorectal barotrauma due to accidental high-pressure compressed air insufflation is rare. Prompt recognition and intervention are critical. In this report, we present a case of accidental anorectal insufflation of compressed air leading to hollow viscus perforation. Radiographs and computed tomography imaging demonstrated massive pneumoperitoneum, pneumomediastinum, dilated small bowel loops, and diffuse sigmoid wall edema. Emergency laparotomy revealed a 3 cm \u00d7 4 cm perforation at the rectosigmoid junction. A Hartmann\u2019s procedure was performed with thorough peritoneal lavage and pelvic drainage. The patient recovered well postoperatively and was extubated on postoperative day 1 with full clinical stabilization achieved by day 4. In conclusion, high-pressure colorectal barotrauma can result in large perforations and massive extraperitoneal and intraperitoneal air leakage. Rapid imaging and emergent surgical intervention are essential to prevent morbidity and mortality. Hartmann\u2019s procedure remains an effective management strategy with improved prognosis in patients with significant contamination and large colorectal perforations.<\/jats:p>","DOI":"10.4103\/aam.aam_315_26","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T09:00:25Z","timestamp":1782982825000},"page":"S637-S640","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Barotrauma-induced Rectosigmoid Perforation Following Accidental High-pressure Compressed Air Insufflation: A Rare Case Report"],"prefix":"10.4103","volume":"25","author":[{"given":"Pushkar","family":"Galam","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viren Raj","family":"Nagarkar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dakshyani","family":"Nirhale","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishor","family":"Jeughale","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasam Venkata","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Academics, HCG Manavata Cancer Centre, Nashik, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavan Goud","family":"Pasham","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"R1-20261012","first-page":"e61096","article-title":"Air nozzle injury: Barotrauma resulted from an industrial accident","volume":"16","author":"Mhaske","year":"2024","journal-title":"Cureus"},{"key":"R2-20261012","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.ejfs.2016.08.002","article-title":"Fatal recto-sigmoid rupture by compressed air","volume":"6","author":"Pai","year":"2016","journal-title":"Egypt J Forensic Sci"},{"key":"R3-20261012","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5152\/eajem.2018.07769","article-title":"Colonic barotrauma causing tension pneumoperitoneum following jet air insufflation to the rectum","volume":"17","author":"Sheikh","year":"2018","journal-title":"Eurasian J Emerg Med"},{"issue":"Suppl 1","key":"R4-20261012","first-page":"S355","article-title":"Pneumoperitoneum, pneumothorax, pneumomediastinum with massive subcutaneous emphysema: A rare presentation following transanal colonic barotrauma","volume":"79","author":"Deivasigamani","year":"2022","journal-title":"Med J Armed Forces India"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"e928889","DOI":"10.12659\/AJCR.928889","article-title":"Mesenteric tear can be caused by abdominal counter-pressure applied during colonoscopy","volume":"22","author":"Shacket","year":"2021","journal-title":"Am J Case Rep"},{"key":"R7-20261012","doi-asserted-by":"crossref","first-page":"5938","DOI":"10.1007\/s00464-022-09010-6","article-title":"Clinical characteristics and outcome of iatrogenic colonic perforation related to diagnostic versus therapeutic colonoscopy","volume":"36","author":"Cha","year":"2022","journal-title":"Surg Endosc"},{"key":"R8-20261012","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4174\/astr.2017.93.1.61","article-title":"Rectal perforation by compressed air","volume":"93","author":"Park","year":"2017","journal-title":"Ann Surg Treat Res"},{"key":"R9-20261012","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.gie.2016.01.046","article-title":"The use of carbon dioxide in gastrointestinal endoscopy","volume":"83","author":"Lo","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"R11-20261012","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1186\/s13256-019-2067-y","article-title":"Transanal high pressure barotrauma causing colorectal injuries: A case series","volume":"13","author":"Bains","year":"2019","journal-title":"J Med Case Rep"},{"key":"R12-20261012","doi-asserted-by":"crossref","first-page":"7299","DOI":"10.3748\/wjg.v27.i42.7299","article-title":"Colonoscopy-related colonic ischemia","volume":"27","author":"Sadalla","year":"2021","journal-title":"World J Gastroenterol"},{"key":"R13-20261012","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/2221-6189.299184","article-title":"Rectosigmoid perforation after high-pressure air jet exposure: A case report","volume":"9","author":"Rastogi","year":"2020","journal-title":"J Acute Dis"},{"key":"R15-20261012","first-page":"e9954","article-title":"A case of pneumatic rectal perforation caused by compressed air","volume":"12","author":"Gupta","year":"2020","journal-title":"Cureus"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_315_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:23Z","timestamp":1791810083000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_315_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":12,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_315_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]},"assertion":[{"value":"2026-03-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}