Top
30
Doctor insights on: Perforated Bowel Repair

Share
1

1
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


4

4
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

5

5
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

6

6
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

7

7
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
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

15

15
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

16

16
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

17

17
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

18

18
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

19

19
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

21

21
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

22

22
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

23

23
How long can someone have a bowel perforation and be unaware of it?

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

24

24
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

25

25
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

26

26
Bowel perforation outlook good after tubal?

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

27

27
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

28

28
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

29

29
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

30

30
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

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