Intestinal Perforation Quiz
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Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
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Learn more about Intestinal perforation
Content updated on Sep 20, 2022
What is intestinal perforation?
Intestinal perforation refers to a hole in the wall of the intestines. It is a serious, painful condition that can lead to fatal complications. Causes include twisting of the intestines, inflammation, intestinal ulcers, or injury/trauma to the intestinal walls. Elderly people, people who have recently undergone abdominal surgery, and those who have a medical history of cancer or gastrointestinal problems are at a higher risk.
Symptoms of intestinal perforation
Abdominal pain
Fever
Sharp abdominal pain
Pain when pressing down on the abdomen
Low back pain worsens on coughing, sneezing or straining
Nausea or vomiting
Loss of appetite
Questions your doctor may ask to check for intestinal perforation
Your doctor may ask these questions to diagnose intestinal perforation
Do you have abdominal pain (stomach ache)?
Do you have a fever?
Did you have a sharp, stabbing-like abdominal (tummy) pain?
Do you feel severe pain when pressing on your abdomen (stomach)?
Do you have low back pain when sneezing, coughing, or straining?
Treatment for intestinal perforation
This is a medical emergency that requires prompt medical attention. Treatment involves surgery to close the hole, with/ without removal of part of the intestines. Antibiotics and fluids would be administered.
View the symptoms of Intestinal perforation
Diseases related to Intestinal perforation
References
Donahue L. Spontaneous intestinal perforation. Neonatal Netw. 2007 Sep-Oct;26(5):335-51. doi: 10.1891/0730-0832.26.5.335. PMID: 17926662.
https://connect.springerpub.com/content/sgrnn/26/5/335
Hu C, Zhang H. Primary small intestinal lymphoma: A rare cause of small intestinal perforation. Asian J Surg. 2021 Nov;44(11):1443-1444. doi: 10.1016/j.asjsur.2021.07.020. Epub 2021 Jul 24. PMID: 34312049.
https://www.sciencedirect.com/science/article/pii/S101595842100405X?via%3Dihub
Hernández Anselmi E, Gutiérrez San Román C, Barrios Fontoba JE, Ayuso González L, Valdés Dieguez E, Lluna González J, Roca Molla A, García-Sala Viguer C, Gómez Montes J, Cortina Orts H. Intestinal perforation caused by magnetic toys. J Pediatr Surg. 2007 Mar;42(3):E13-6. doi: 10.1016/j.jpedsurg.2006.12.066. PMID: 17336176.
https://www.jpedsurg.org/article/S0022-3468(06)00994-8/fulltext
Fallon SC, Redell MS, El-Bietar J, Lopez ME, Vasudevan SA, Brandt ML. Intestinal perforation after treatment of Burkitt's lymphoma: case report and review of the literature. J Pediatr Surg. 2013 Feb;48(2):436-40. doi: 10.1016/j.jpedsurg.2012.12.002. PMID: 23414881.
https://www.jpedsurg.org/article/S0022-3468(12)00980-3/fulltext
Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan