Spontaneous perforation of caecum, a rare entity: case report and review of literature
DOI:
https://doi.org/10.18203/2349-2902.isj20181615Keywords:
Caecum, Perforation, SpontaneousAbstract
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.