Farbin S, Davidson P, Shockley L
Department of Internal Medicine, University of Colorado Health Sciences Center, Denver, USA.
J Emerg Med. 1996 Nov-Dec;14(6):703-6. doi: 10.1016/s0736-4679(96)00179-5.
A 39-year-old woman presented to the emergency department complaining of rectal bleeding and abdominal pain 7 h after sitting on a water display fountain. On examination, the abdomen was rigid, and the patient had a prolapsed rectum with rectal bleeding. A chest radiograph demonstrated free air. On emergent exploratory laparotomy, the patient had a perforated sigmoid colon at the rectosigmoid junction with gross abdominal soilage. The patient survived to hospital discharge. This case provides a review of the literature regarding hydrostatic injury to the colon and other self-induced colorectal perforations.
一名39岁女性在坐在水上喷泉后7小时因直肠出血和腹痛前往急诊科就诊。检查时，腹部僵硬，患者直肠脱垂并伴有直肠出血。胸部X线片显示有游离气体。在急诊剖腹探查术中，患者在直肠乙状结肠交界处的乙状结肠穿孔，伴有大量腹腔污染。患者存活至出院。本文对有关结肠静水压力损伤及其他自发性结直肠穿孔的文献进行了综述。
