Spontaneous perforation of caecum, a rare entity: case report and review of literature

Authors

  • Rakesh Sharma Department of Surgery, IMS and SUM Hospital, Bhubaneswar, Odisha, India
  • Biren P. Padhy Department of Surgery, IMS and SUM Hospital, Bhubaneswar, Odisha, India
  • Supreet Kumar Department of Surgery, IMS and SUM Hospital, Bhubaneswar, Odisha, India
  • G. Lakshmi Suchithra Department of Surgery, IMS and SUM Hospital, Bhubaneswar, Odisha, India
  • Meka Hareesh Department of Surgery, IMS and SUM Hospital, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-2902.isj20181615

Keywords:

Caecum, Perforation, Spontaneous

Abstract

Spontaneous perforation of caecum is a rare entity. Here we present a case of 72-year-old male who had presented with pain, distension of abdomen with tense pneumo-peritonium and peritonitis. Exploratory laparotomy showed caecal perforation without any obvious cause.  Various theories have been proposed regarding the pathology but still its etiology remains a dilemma. Though it is not a common entity, it weighs a high importance in case of diagnosis and prompt intervention due to its high mortality from peritonitis and septicaemia.

References

Sheikholeslami F. Spontaneous perforation of rectosigmoid colon. Iranian J Med Sci. 2009;24(2):137-41.

JR. Strecker, V Jaluvka. Spontaneous Perforation of the Coecum Following Caesarean Section. Geburtshilfe Frauenheilkd 1988;48(7):489-93

Adams PL, Rutsky EA, Rostand SG, Han SY. Lower Gastrointestinal Tract Dysfunction in Patients Receiving Long-term Hemodialysis. Arch Intern Med. 1982;142(2):303-06.

Puglisi BS, Kauffman HM, Stewart ET, Dodds WT, Adams MB and Komorowski RA. Colonic Perforation in Renal Transplant Patients. AJR. Am J Roentgenol. 1985;145(3),555-58.

Yeo R. Spontaneous perforation of the caecum: case reports and a review of the literature. Postgraduate Medic J. 1967;43(495):65-7.

Kouam C, Passang O, Guifo ML, Atem N. Spontaneous cecal perforation in a 40-year-old pregnant woman treated by primary repair and omental patch: a case report. J Medic Case Repor. 2017;11(1):162.

Spira IA, Wolff WI. Gangrene and spontaneous perforation of the cecum as a complication of pseudo-obstuction of the colon: report of three cases and speculation as to etiology. Dis Colon Rectum .1976;19(6):557-62.

Galanis I, Dragoumis D, Kalogirou T, Lakis S and Kotakidou R. Spontaneous perforation of solitary ulcer of transverse colon. Indian J Pathol Microbiol. 2010 ;53(1):138-40.

Davis L, Lowman RM. An evaluation of cecal size in impending perforation of the cecum. Surg Gynecol Obstet 1956;103(6):711-8.

Serpell JW and Nicholls RJ. Stercoral perforation of the colon. Brit J Surg. 1990;77(12):1325-29.

Maurer CA, Renzulli P, Mazzucchelli L, Egger B, Seiler CA, Buchler MW. Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon. Dis Colon Rectum 2000; 43(7):991-8

Singh S, Nadgir A, Bryan RM. Post-cesarean section acute colonic pseudo-obstruction with spontaneous perforation. Int J Gynaecol Obstet. 2005;89(2):1445.

Downloads

Published

2018-04-21

Issue

Section

Case Reports