Spontaneous caecal perforation secondary to abdominal wall abscess or vice versa - case report and review of literature
Keywords:Abscess, caecal perforation, perforation, spontaneous caecal perforation
Background: Spontaneous caecal perforation secondary to abdominal wall abscess is a rare entity. There may be abdominal wall abscess due to spontaneous caecal perforation. Small and large bowel perforation in neonatal period is common secondary to necrotizing enterocolitis. But beyond neonatal caecal perforation is unusual.
Case presentation: We are reporting an interesting case of spontaneous caecal perforation in two year old female child without any sign and symptoms of peritonitis or abdominal discomfort secondary to abdominal wall abscess. Or it may be vice versa, abdominal wall abscess develops secondary to caecal perforation.
Conclusion: Caecal perforation in children beyond to neonatal period is extremely rare. To the best of our knowledge, I have never seen in English literature of spontaneous caecal perforation secondary to abdominal wall abscess or vice versa.
Greenstein AJ, Sachar DB, Mann D, Lachman P, Heimann T, Aufses AH Jr. Spontaneous free perforation and perforated abscess in 30 patients with Crohn's disease. Ann Surg1987; 205:72-6.
Luning TH, Keemers-Gels ME, Barendregt WB, Tan AC, Rosman C. Colonoscopic perforations: A review of 30,336 patients. Surg Endosc 2007; 21:994-7.
Wong CS, Naqvi SA. Appendicular perforation at the base of the caecum, a rare operative challenge in acute appendicitis, a literature review. World J Emerg Surg. 2011; 6:36.
Yanchar NL, Bass J. Poor outcome of gastrointestinal perforations associated with childhood abdominal non-Hodgkin's lymphoma. J Pediatr Surg 1999; 34:1169-74.
Griffiths EA, Date RS. Acute presentation of a solitary caecal diverticulum: A case report. J Med Case Reports 2007; 1:129.
Spira IA, Wolff WI. Gangrene and spontaneous perforation of the cecum as a complication of pseudo-obstruction of the colon: report of three cases and speculation as to etiology. Dis Colon Rectum.1976; 19 (6):557-62.
Laskin MD, Tessler K, Kives S. Cecal perforation due to paralytic ileus following primary caesarean section. J Obstet Gynaecol Can. 2009; 31:167–71.
Puglisi BS, Kauffman HM, Stewart ET, Dodds WT, Adams MB and Komorowski RA. Colonic Perforation in Renal Transplant Patients. AJR. Am J Roentgenol. 1985; 145 (3), 555-58.
Yeo R. Spontaneous perforation of the caecum: case reports and a review of the literature. Postgraduate Medic J. 1967; 43(495):65-7.
Singh S, Rawat J, Wakhlu A, Kureel SN, Pandey A. Six‑year retrospective analysis of colonic perforation in neonates and infants: Single centre experience. Afr J Paediatr Surg 2012;9: 102‑5.
Yu L, Tian J, Zhao X, Cheng P, Chen X, Yu Y, et al. Bowel perforation in premature infants with necrotizing enterocolitis: Risk factors and outcomes. Gastroenterol Res Pract 2016;2016:6134187
Cruze K, Snyder WH., Jr Acute perforation of the alimentary tract in infancy and childhood. Ann Surg. 1961;154:93–99.
Stevenson RJ. Abdominal pain unrelated to trauma. Surg Clin North Am. 1985;65: 1181–1215.
Mohamed IS, Hodi SCA, Baker NA, Zakaria Z. Anterior abdominal abscess as a complication of appendicular mass in elderly. Trop Med Surg 2013; 1(5):137.
Andaz S, Heald RJ. Abdominal wall abscess an unusual primary presentation of a transverse colonic carcinoma. Postgrad Med J 1993;69: 826-28.
Sy ED, Liu CS, Huang SM, Shan YS. Cecal perforation presenting as abdominal-wall necrotizing fasciitis. Pediatr Surg Int 2001; 17:215-217.
Simpkin V L, Lakhoo K. An unusual cause of caecal perforation in a child.Afr J Paediatr Surg 2009; 6:114-115.
Ram D, Karthikeyan, V S, Sistla, S C, Ali S M, Sridhar P, Rajkumar N. Spontaneous cecal perforation secondary to acute fulminant gastroenteritis: report of a rare case, Annals of Pediatric Surgery: January 2014 - Volume 10 - Issue 1 - p 12-13.doi: 10.1097/01.XPS.0000437373.44829.cb
Harbaugh C, Siddiqui S, Sutherland C, Rabah‑Hammad R, Hirschl. Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound. J Pediatr Surg Case Rep 2016; 11:28‑30.
Ravi Shankar J C, Narayan Hebsur, Hosmani Ramesh, K N Praveen and Kumar Abhishek. Cecal Perforation Secondary to Appendicitis-But not at the Base of Appendix. World J Med Surg Case Rep 2016; 5:1-4.
Al Shukry S. Spontaneous perforation of the colon: clinical review of five episodes in four patients. Oman Med J. 2009;24:137–41.
Velitchkov NG, Kjossev KT, Losanoff JE, Grigorov GI, Kavardjikova-Milanova VA. Stercoral perforation of the colon. Rozhl Chir 1995. Apr;74(3):145-146.
Basile M, Montini F, Cipollone G, Errichi BM. Spontaneous perforations of the large intestine. Ann Ital Chir 1992. Sep-Oct;63(5):625-629.
Maurer CA, Renzulli P, Mazzucchelli L, Egger B, Seiler CA, Buchler MW. Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon. Diseases of the colon and rectum. 2000;43: 991-8.
Yeo R. Spontaneous perforation of the caecum: case reports and a review of the literature. Postgrad Med J 1967; 43:65–67.
Chao HC, Chiu CH, Kong MS, Chang LY, Huang YC, Lin TY, Lou CC. Factors associated with intestinal perforation in children’s non-typhi Salmonella toxic megacolon. Pediatr Infect Dis J 2000; 19:1158–1162.
Diyya G, Debnath PR, Kundal VK, Kumar A, Kumar A, Sen A. Spontaneous enterocutaneous fistula in an infant. J Pediatr Adolesc Surg. 2020; 1: ahead
How to Cite
Copyright (c) 2021 Dr.Dinesh Kumar Barolia, Aditya Pratap singh , . Harsha Vinod Bathia, Vipal H Parmar, Bhavana Asit Mehta, Shraddha Mehta
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.