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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 that's all.?

This morning I heard this loud popping sound from left sidebof abdomen. Could it be bowel perforation, a little pain bur that's 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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What are the chances of recovering from sepsis after bowel perforation?

Depends: There are several factors that can influence survival from sepsis due to bowel perforation. Age, other medical conditions, and timing of intervention/antiobiotics can all make a big difference. ...Read more

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What is the risk of bowel perforation from CT colonography "virtual colonoscopy"??

What is the risk of bowel perforation from CT colonography "virtual colonoscopy"??

Not invasive.: A traditional colonoscopy is invasive; the fiber optic camera is passed through the colon, and therein causes the low risk of perforation of the colon. A CT colonography is not invasive; it's just a fancier CT scan, so there's nothing to directly cause a perforation. ...Read more

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A year ago I felt bowel perforation symptoms for 2 days after using anal toys. My irksome bowels beg the question: did I really hurt my colon or anus?

A year ago I felt bowel perforation symptoms for 2 days after using anal toys. My irksome bowels beg the question: did I really hurt my colon or anus?

?? Perforation??: If you had bowel perforation that went untreated you would not survive! If you scratched/scraped/cut some of the inner surfaces in your rectal area it obviously healed to some degree but may have left some scarred tissue. If you cut the muscles within the anus, it could cause a stricture or a difficult to close outlet. A simple rectal exam by your doc could provide better info & help you improve. ...Read more

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After bowel perforation with entercocci in blood, how long before sepsis kills a person?

After bowel perforation with entercocci in blood, how long before sepsis kills a person?

Untreated, it's fast: As short as an hour if we don't get effective treatment. Treated, it's quite survivable most of the time. ...Read more

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I had a colonoscopy yesterday how long before I can stop worrying about complications? Bowel perforation bleeding infection......etc

I had a colonoscopy yesterday how long before I can stop worrying about complications? Bowel perforation bleeding infection......etc

Stop today: I it was a simple diagnostic study, and you feel fine, you can rest assured that your ok. Even it they performed a biopsy, chances are you'll be just fine. You can't do anything about it anyway, and off you had sifnificant bleeding, you would see blood in the stool. Call your doctor if this happens. Hope this helps! ...Read more

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Woke up with abdominal cramps, went potty, went away now back. Ate high fiber dinner, no ibd history. Bowel perforation maybe?

Woke up with abdominal cramps, went potty, went away now back. Ate high fiber dinner, no ibd history. Bowel perforation maybe?

Unlikely...: It'd be unusual for someone otherwise healthy to get a bowel perforation without any other symptoms like fever, consistent and worsening abdominal pain, nausea, vomiting. It may be the beginning of a viral gastroenteritis or just something you eat. If the abdominal pain is consistent and getting worse, make sure you contact your doctor today! ...Read more

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Inflammed bowel - how can perforation be avoided?

Inflammed bowel - how can perforation be avoided?

Inflamed: Who told you it was inflamed, and if so what was done about it.
If a doctor has not yet seen you about this you must make an appointment. If there is a delay you should go to the nearest Emergency facility. ...Read more

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Can you get diverticulitis from a bowel perforation during a hysterectomy?

Not likely: Diverticulosis is when you have pouches form in the wall of the colon; it usually develops slowly w/ age. It may be genetic, related to constipation or to a low fiber diet. Diverticulitis is when 1 of these pouches gets inflamed & infected, leading to pain, fever, obstruction, bleeding & abscesses. This doesn't usually result from surg trauma, but the symptoms can be similar to a perforation. ...Read more

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Death from sepsis perforations bowel infected cavity anastomosis site, yet autopsy said bowel unremarkable, how? There wud be evidence of sepsis, yes?

Death from sepsis perforations bowel infected cavity anastomosis site, yet autopsy said bowel unremarkable, how? There wud be evidence of sepsis, yes?

Autopsy report: If the patient had a perforated bowel, I would be extremely surprised if the pathology report from the autopsy said 'normal'. To me that doesn't make any sense. Definitely if someone had a perforated bowel, there's a high chance they met the criteria for sepsis. Probably severe sepsis or even septic shock. There are strict definitions for that. Any Infectious Disease doctor should be able to help. ...Read more

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What does global deterioration mean???? my dad had perforation of bowel, then sepsis and subsequent heart failure,

What does global deterioration mean???? my dad had perforation of bowel, then sepsis and subsequent heart failure,

Multiple organs: It is not a conventional medical term, however, from what you described, it suggests that multiple organs are not functioning normally. It is not an uncommon complication of sepsis. ...Read more

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Can a perforated bowel reseal itself?

Maybe...: If the perforation is small, the intestine will close with time, antibiotics, bowel rest and conservative non-surgical management. Hospitalization and close observation is usually required. Good luck! ...Read more

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How do I know if I have a perforated bowel?

Severe abdomen pain: Also very distended belly, no bowel movements. Possible fever, vomiting. ...Read more

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How does a perforated bowel lead to ards?

SIRS: Sirs results from the perforated bowel. The addition of the bacteria from the bowel spilling into the abdomen greatly increases the bodys response to this critical condition. This increase in immune function can push a patient into ards. ...Read more

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Is it possible for foreign body to stay in intestine for 8 years depending on shape/size? Or issues like perforation/fistula would definitely occur now

Is it possible for foreign body to stay in intestine for 8 years depending on shape/size? Or issues like perforation/fistula would definitely occur now

It would be: Better if you described the "object" in question to have a meaningful answer. However one suggestion may help. If it is RADIO_OPAQUE (dense enough like metal)it will show up on a simple abdominal xray! If not an MRI would do the trick......

Hope this is helpful
Dr Z ...Read more

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What are some causes for free-air in an abdomen other than a perforated bowel?

What are some causes for free-air in an abdomen other than a perforated bowel?

Recent surgery: Usually perforated bowel. however if the patient had a recent surgery or abdominal procedure, there can be free air in the abdomen for a few days. ...Read more

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Could I have perforated my bowel by wiping inside the anus? I feel kinda weird after it, and it feels weird down there. Since I've had 1 normal bowel mov

Could I have perforated my bowel by wiping inside the anus? I feel kinda weird after it, and it feels weird down there. Since I've had 1 normal bowel mov

Bowel perf: It is very unlikely, but if you should get pain and fever see your doctor.
You can cause some swelling which can itch and be irritating. It should resolve in a day or two.
The fact that it feels weird would suggest that however you were wiping is probably not a good plan for the future. ...Read more

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Does bowel cancer cause a perforated bowel?

Does bowel cancer cause a perforated bowel?

Sometimes: A bowel cancer can occasionally present as a bowel perforation. ...Read more

Dr. Alexander Barkan
61 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