Fisting into the sigmoid











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Often with concomitant use of recreational drugs such as ecstasy, cocaine, ketamine, and poppers. Because of the absence of general fecal peritonitis we opted to suture the perforation in two layers with a Vicryl 2. Slotervaartziekenhuis, Amsterdam, The Netherlands. The CT-scan showed a perforation of the sigmoid 40 cm above the anus. A year-old HIV-infected man presented himself to our emergency department with severe abdominal pain five hours following anal fisting. Also transanal introduction of foreign bodies is a well known phenomenon. A large bowel perforation can be potential fatal due to the development of peritonitis by contamination of the peritoneal cavity. Int J Colorectal Dis At laparoscopy, a perforation in the sigmoid colon was found and successfully repaired. Linos D, Nestoridis E.

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sigmoid flexure-and in his case also the button passed back wards into the ceecum. . and in the left inguinal region a hard swelling the size of a fist couldl be.

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Patient recovered uneventful and was discharged in 5 days. We present a unique case of a sigmoid perforation after anal fisting which was laparoscopically.

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Description: Patient was frequently reviewed in our outpatient department. The choice of surgical procedure for peritonitis due to colonic perforation. In men having sex with men high risk sexual behavior can be seen. The treatment of a bowel perforation is most commonly performed by laparotomy. Patient made an uneventful recovery and was discharged in 5 days. Physical examination of his abdomen revealed tenderness of the complete abdomen with signs of peritonism. Laparoscopic repair of traumatic colon perforation, for example after colonoscopy, can be performed in experienced surgeons. The defect had a diameter of 9 centimeters and was located approximately 20 cm above the transverse rectal fold figure 2. CT abdomen coronal with rectal contrast. Contrast in the sub hepatic region, 3. Gastrointest Endosc
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