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Doctor insights on: Bowel Perforation Pathophysiology

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What are the tests for bowel perforation?

What are the tests for bowel perforation?

Physical examination: Intestinal perforation is a very serious and life threatening condition that requires immediate physical examination by a doctor. This is an emergency situation. Blood tests, x-ray, and ct scan are likely the first tests performed. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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Bowel perforation outlook good after tubal?

Bowel perforation outlook good after tubal?

Yes: Assuming the perforation was recognized and treated promptly, the outlook is fine. ...Read more

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Explain the condition called a bowel perforation.?

Explain the condition called a bowel perforation.?

See below: A bowel perforation is an emergency, serious condition where the intestines are leaking internally. Usually it is associated with severe abdominal pain, vomiting, fevers. There are many causes of perforation such as stomach ulcer, small bowel injury from scar tissue, perforated appendicitis, perforated diverticulitis, etc. All these are serious and will require emergency surgery. ...Read more

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Any risk of bowel perforation during hysterectomy?

Any risk of bowel perforation during hysterectomy?

Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur. ...Read more

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If you had to boil it down, what is bowel perforation?

If you had to boil it down, what is bowel perforation?

Hole in the Bowel: Bowel perforation is often a life-threatening emergency that usually requires emergency surgery to treat. Common causes include a perforated ulcer, diverticulitis, or intestinal cancer. The contents from the bowel is very toxic to the body, requiring emergent intervention. The surgical approach is dependent upon one's health, preoperatively evaluation, and preference of the surgeon. ...Read more

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Big risk of bowel perforation during a routine colonoscopy?

Very small: The literature quotes rates of 1 in 3000. I have done over 10, 000 with no perforations. The risk increases with age and previous abdominal surgeries as well as nutritional status. ...Read more

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How do people treat bowel perforation?

How do people treat bowel perforation?

Bowel perforation: Treatment is mostly by surgery if patient has peritonitis. If diverticulitis causes a perforation sometimes long term antibiotics are needed, and surgery may be avoided. ...Read more

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For how long can someone live with a bowel perforation?

A few painful days: A perforation of the bowel, by any cause, usually causes leakage of intestinal fluid into the abdomen around the intestine. A very severe infection starts rapidly that typically leads to a painful death in only a few days. Operation to repair the perforation and clean out the infection as well as antibiotics are usually needed. ...Read more

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What is the definition or description of: Bowel perforation?

What is the definition or description of: Bowel perforation?

A hole...: ...that penetrates through the gut (typically large bowel or colon) resulting either as a complication of infection (e.g. diverticular rupture) or of a bowel procedure (like colonoscopy). Sometimes conservatively managed, but often a surgical emergency. ...Read more

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What symptoms does someone with bowel perforation always have?

What symptoms does someone with bowel perforation always have?

Bowel perforation: Usually associated with severe abdominal pain, the patient is usually not able to move much, and laying still helps decrease the pain. Fever and increase in WBC count is also a finding as well as free air on xrays. ...Read more

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How long can someone have a bowel perforation and be unaware of it?

Most will be aware: Generally a bowel perforation causes peritonitis and severe symptoms. On occasion a small perforation can become walled off and not cause peritonitis but it still would cause symptoms in most, but not all, cases. Patients on corticosteroid medication can have a "silent" perforation. The very elderly and patients debilitated by other illness may also have "silent" perforations. ...Read more

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What are some warning signs of bowel perforation? Especially if it's minor, like a small hole or tear?

What are some warning signs of bowel perforation? Especially if it's minor, like a small hole or tear?

Abdominal pain : It all depends whether it is stomach, small bowel or large bowel. Most of them will present with a quite severe abdominal pain, nausea, vomiting, fever in an otherwise healthy patient. Most of these patients will end up in the hospital quickly due to the pain. The symptoms may be much les prominent in an immunocompromised patients. ...Read more

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What to do if i'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?

What to do if i'm afraid of losing my natural flora and also of bowel perforation. How likely are these risks?

Unlikely: These are unlikely scenarios if your bowel is otherwise healthy, you do not have inflammatory bowel disease, take antibiotics chronically, or are being treated with chemotherapy. Eating sensibly allows the body to keep its natural bowel flora in balance. ...Read more

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How long after a laposcopic surgery will you know if you have bowel perforation?

Usually in days : If a perforation happens, a known complication of laparoscopic surgery, the size of the opening will regulate how much bowel content may leak. Location in small (lq) or large bowel (solid) affects likely leakage. Small holes may quickly seal up and cause no problem. Leaks that are larger will typically cause peritoneal inflammation (peritonitis) and usually be noticed within a few days (2-3). ...Read more

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Can you tell me about risk of bowel perforation during laparoscopic hysterectomy?

Can you tell me about risk of bowel perforation during laparoscopic hysterectomy?

Very uncommon: Any abdominal or pelvic surgery can result in a bowel injury. The risk depends on how complicated the surgery is to perform. The experience of your surgeon is also important. On the rare occasion that the bowel is injured it can usually be repaired with minimal problems. Problems result if your surgeon did not realize the bowel was perforated. ...Read more

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Can i take a rectal temp 20 min after giving toddler a suppository if it didn't work? Could that cause bowel perforation?

Can i take a rectal temp 20 min after giving  toddler a suppository if it didn't work? Could that cause bowel perforation?

No: I assume your toddler took some suppository for fever. It would not effect so quickly so i will give another 20 minutes before i take the temp/onset of action 30min to 4 hr/. It won't cause any perforation if you use it properly. ...Read more

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If there is past family history of 2 deaths from bowel perforation (1 colonoscopy, 1 cdif) could there be increased risk for other family members?

If there is past  family history of 2 deaths from bowel perforation (1 colonoscopy, 1 cdif) could there be increased risk for  other family members?

Not clear: If i understand what you are asking, there is no risk to have bowel perforation because others had it. Specially from a colonoscopy. Cdiff is an infection and the only risk is to get the infection from the relative that had it. ...Read more

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This morning I heard this loud popping sound from left sidebof abdomen. Could it be bowel perforation, a little pain bur thats all.?

This morning I heard this loud popping sound from left sidebof abdomen. Could it be bowel perforation, a little pain bur thats all.?

Highly unlikely: Bowel perforations are extremely painful and associated with a high fever. A loud pop could be from a subluxed rib or vertebral body on your spine, but not from a bowel perforation. ...Read more

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I have recently had a colostomy reversed (had a bowel perforation following stricture from crohns) want to try for baby I am 36 are there risks?

I have recently had a colostomy reversed (had a bowel perforation following stricture from crohns) want to try for baby I am 36 are there risks?

Yes: The greatest risk is that you might not be able to get pregnant and/or carry to term. Some of that depends on the procedure you had and some depends on your underlying disease and activity and meds that you are on for it. That is worth a good discussion with your gastroenterologist and obstetrician. ...Read more

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Dr. Alexander Barkan
60 doctors shared insights

Bowel Perforation (Definition)

...that penetrates through the gut (typically large bowel or colon) resulting either as a complication of infection (e.g. diverticular rupture) or of a bowel procedure (like colonoscopy). Sometimes conservatively managed, but ...Read more


Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more