Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall

Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall

We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma...

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Main Authors: Jayan George, Michael Peirson, Samuel Birks, Paul Skinner
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/7175381
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spelling doaj-c7a7976f5f2848529c21b4dc8f8070bd2020-11-25T00:04:12ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/71753817175381Managing a Colonoscopic Perforation in a Patient with No Abdominal WallJayan George0Michael Peirson1Samuel Birks2Paul Skinner3Department of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKWe describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.http://dx.doi.org/10.1155/2018/7175381
collection DOAJ
language English
format Article
sources DOAJ
author Jayan George
Michael Peirson
Samuel Birks
Paul Skinner
spellingShingle Jayan George
Michael Peirson
Samuel Birks
Paul Skinner
Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
Case Reports in Surgery
author_facet Jayan George
Michael Peirson
Samuel Birks
Paul Skinner
author_sort Jayan George
title Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
title_short Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
title_full Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
title_fullStr Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
title_full_unstemmed Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
title_sort managing a colonoscopic perforation in a patient with no abdominal wall
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2018-01-01
description We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.
url http://dx.doi.org/10.1155/2018/7175381
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AT michaelpeirson managingacolonoscopicperforationinapatientwithnoabdominalwall
AT samuelbirks managingacolonoscopicperforationinapatientwithnoabdominalwall
AT paulskinner managingacolonoscopicperforationinapatientwithnoabdominalwall
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