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Doctor insights on: Cancer Patient With A Perforated Bowel

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Dr. Barry Rosen
4,298 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement.Has she been misdiagnosed?

My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement.Has she been misdiagnosed?

See answer: Without knowing all the details it's not possible to give specific advice other than: Speak with her physician. Is she on Hospice care? If not, it may be helpful. Write down a list of questions you would like answers to. Her physician should be able to give reasonable answers. Knowing a family member is involved helps to keep physicians particularly attentive to your moms care . ...Read more

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How does a perforated bowel lead to ards?

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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I had a perforated bowel 5 years ago. Since then my stools come in various shapes and sizes, one of them being narrow. Is this normal for me now?

I had a perforated bowel 5 years ago.  Since then my stools come in various shapes and sizes, one of them being narrow. Is this normal for me now?

A perforated: bowel after repair has absolutely no effect on future stool shape/formation. Sounds to me like you may have mild IBS (Irritable Bowel Syndrome) Discuss with your PCP (Primary care Provider) Hope this is helpful DrZ ...Read more

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Can a perforated bowel reseal itself?

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 much time can you live with perforated bowel with no treatment?

How much time can you live with perforated bowel with no treatment?

Not too long: Perforated bowel is a surgical emergency and without treatment results invariably in sepsis and death. ...Read more

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Laparoscopic surgery on a perforated bowel 10 days ago. had dressings off today. had a shower and small amount of pus and discharge from bellybutton?

Laparoscopic surgery on a perforated bowel 10 days ago. had dressings off today. had a shower and small amount of pus and  discharge from bellybutton?

Local infection: You most likely have a wound infection from one of the port sites. Bring this to the attention of your surgeon. In most cases minor wound care will allow for this to heal. ...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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I've had a perforated bowel, and became septic following my c-section 13 months ago and now I am pregnant. What are the complications?

Certainly the same: Risks apply. Bowel injuries are uncommon in c-section so it may have been partly because you have issues that make surgery difficult. The docs will be vigilant, i'm sure, so perhaps this time a perforation will be less likely. You may consider trying vaginal birth, depending on number of c-sections and/or why u had your first c-section. Congradulation's on your pregnancy. ...Read more

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Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????

Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????

Unlikely: It is unlikely that a CT would be wrong. It is a very good test for assessing abscesses and an air/fluid level is an excellent indication of perforated bowel. It could however have been read incorrectly but most radiologists are expert in reading CT scans. You should ask for a second radiologist to read the CT if you suspect an error. ...Read more

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My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?

My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?

See your PCP: His systolic is too high (the top number). But on the other hand you don't want his pressure to go too low. It may be the pain he is experiencing causing his top number to be so high. A perforated bowel is no small event. If the BP goes to low ischemia may occur as well. I'm assuming he is still in hospital. Just make the doctors aware which i'm sure they are. ...Read more

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Can air within soft tissue of pelvis extendn round right lateral pelvic wall out throught both obturator foramin come from a perforated bowel rectum ?

Can air within soft tissue of pelvis extendn round right lateral pelvic wall out throught both obturator foramin come from a perforated bowel rectum ?

Yes and other causes: As any gas in the soft tissues is abnormal, this should represent infection unless there is another explanation (very unusual). Causes in this area would include: diverticulitis, appendicitis, rectal perforation from trauma, inflammation or cancer, urologic infections, or generalized soft tissue infections of the perineum (Fournier's gangrene) in susceptible individuals. See MD immediately ...Read more

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If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area, Can the CT be wrong ?

If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area,  Can the CT be wrong ?

Unlikely: Dangerous set of circumstances!, Get drained and diverted --- General surgery or possibly interventional radiology or both!left or right colon perforation, or appendiceal abscess if on right. ...Read more

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What can be done for bowel Inflammation in a metastic colon cancer patient ?can chemo cause this ?

What can be done for bowel
Inflammation in a metastic colon cancer patient ?can chemo cause this ?

There are many: Reasons for intestinal inflammation whether or not someone has colon cancer and is utilizing chemotherapy. Without having more information like the symptoms associated or the circumstances around how the inflammation was identified, it's difficult to better guide you. Though this is a question that a patients oncologist should readily be able to help out with. ...Read more

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My mother died just 35 days after being diagnosed with ovarian cancer, they said her bowel was obstructed then it perforated, how long had she had it?

My mother died  just 35 days after being diagnosed with ovarian cancer, they said her bowel was obstructed then it perforated, how long had she had it?

A few years: I am sorry to hear of your loss. Ovarian cancer often does not produce specific symptoms till it has already spread. She had the disease for a few years, it is difficult to say how many. Please see this site for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001891/. ...Read more

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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


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