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Doctor insights on: Perforated Bowel Prognosis

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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

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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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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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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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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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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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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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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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 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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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

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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

Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...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