Perforation: Causes & Reasons

Possible Causes for Perforation

It is presumed that the perforation, which had been caused by the endotracheal tube, had occurred when the patient was rolled from the prone to the supine position at the [nejm.org]

INTRODUCTION Neonatal tracheal injury/perforation is an uncommon complication of traumatic deliveries1,2 and endotracheal intubation.3,4 Although perforation of the trachea [nature.com]

Fatal or catastrophic complications such as pneumothorax, tension pneumothorax, vascular perforation, tracheal perforation and other respiratory tract injury are rare. [journals.lww.com]

Impacted Cerumen

Putting eardrops or other products in the ear with the presence of an eardrum perforation may cause pain or an infection. [enthealth.org]

Injuries include burns to the external ear and ear canal and perforation of the eardrum. [my.clevelandclinic.org]

History • Conductive hearing loss (usual presentation) • Itching • Discomfort • Tinnitus • If cerumen removed, look for signs of otitis externa or tympanic membrane perforation [clinicaladvisor.com]

Ileus

If the source of perforation is a duodenal ulcer, the presence of ileus indicates a complication of the perforation. [ajronline.org]

The group of children with perforation was compared with the group of children without perforation, risk factors were evaluated by statistical methods. [ncbi.nlm.nih.gov]

Peptic ulcer disease, perforated diverticular disease and a perforated carcinoma are all possible causes. Intussusception should be considered in children. [patient.info]

Otitis Media

Water must be kept out of the ear when a perforation is present. Usually, the eardrum perforation can be repaired by a procedure called tympanoplasty. [merckmanuals.com]

Perforation of the eardrum is fairly common: progression to chronic suppurative otitis media may occur. [patient.info]

Click here for the Professional Version Click here for the Professional Version Topic Resources Chronic suppurative otitis media is a long-standing, persistently draining perforation [merckmanuals.com]

Acute Otitis Media

Abstract The principal aim of this review is to present the current knowledge regarding acute otitis media (AOM) with spontaneous tympanic membrane perforation (STMP) and [ncbi.nlm.nih.gov]

Tympanic perforation due to AOM may occur in 5-30% of AOM patients. The causative pathogens for AOM with tympanic perforation are limited. [ncbi.nlm.nih.gov]

Severe cytotoxicity was considered to have occurred in all patients, resulting in multiple perforations of the tympanic membrane and necrosis in the middle ear. [ncbi.nlm.nih.gov]

Duodenal Diverticulum

Search phrases were perforated duodenal diverticulum and duodenal diverticulitis. [ncbi.nlm.nih.gov]

Duodenal diverticula are common, but perforated duodenal diverticulum is rare. [ncbi.nlm.nih.gov]

Spontaneous perforation of a duodenal diverticulum is a rare but serious complication with significant mortality rates. [ncbi.nlm.nih.gov]

Otitis Externa

Before using any drops in the ear, it is important to be sure you do not have a perforated eardrum (an eardrum with a hole in it). [enthealth.org]

Signs of mucous, however, indicate discharge from the mucosa in the middle ear, indicating a tympanic membrane perforation is present. [dontforgetthebubbles.com]

AOM with perforation will lead to debris in canal and mimic AOE. AOE will have very tender tragus and pinna while AOM w/ perforation often won’t. [pedemmorsels.com]

Acute Otitis Externa

Complications Tympanic membrane perforation AOM with TM perforation is common and results in otorrhoea and frequently, relief of pain. [rch.org.au]

AOM with perforation will lead to debris in canal and mimic AOE. AOE will have very tender tragus and pinna while AOM w/ perforation often won’t. [pedemmorsels.com]

This practice point focuses solely on managing acute otitis externa, without acute otitis media, tympanostomy tubes or a perforation being present. [ncbi.nlm.nih.gov]

Gastric Ulcer

The cavity exploration showed a perforated gastric ulcer at the anterior surface of the prepyloric area. [ncbi.nlm.nih.gov]

On admission, clinical assessment suggested a visceral perforation and an urgent CT scan demonstrated a perforated prepyloric ulcer. [ncbi.nlm.nih.gov]

Over a 6-month period, two patients presented to a community hospital emergency department with perforated gastric ulcers as the result of recreational misuse of over-the-counter [ncbi.nlm.nih.gov]

Duodenal Ulcer

Pathogenesis and epidemiology Perforation complicates duodenal ulcer about half as often as bleeding and most perforated ulcers are on the anterior surface of the duodenum [ncbi.nlm.nih.gov]

We report a successfully treated 41/2 year old male child who presented with features of perforation peritonitis and was incidentally found to have a perforated duodenal ulcer [ncbi.nlm.nih.gov]

AIM: The aim of this study is to evaluate the results of the laparoscopic treatment of perforated duodenal ulcer performed in 6 Romanian surgical centres with experience in [ncbi.nlm.nih.gov]

Colitis

Medizin, Diagnose, Ösophagus, Magen, Duodenum, Kolon, ERCP, Divertikel, Fremdkörper, Hernie, Stenosen, Ösophagitis, Tumor, Präkanzerose, Varizen, Gastritis, Gastropathie, PEG, Perforation [sl.pons.com]

Colonic perforation may occur, which increases mortality significantly. [msdmanuals.com]

Diagnosis, Esophagus, Stomach, Duodenum, Colon, ERCP, Diverticula, Foreign bodies, Hernia, Stenosis, Esophagitis, Tumor, Precancer, Varices, Gastritis, Gastropathy, PEG, Perforation [sl.pons.com]

Intestinal Obstruction

(Redirected from Bowel perforation) Gastrointestinal perforation Other names Ruptured bowel,[1] gastrointestinal rupture Free air under the right diaphragm from a perforated [en.wikipedia.org]

Peptic ulcer disease, perforated diverticular disease and a perforated carcinoma are all possible causes. Intussusception should be considered in children. [patient.info]

In intestinal perforation, pain starts from the site of perforation and spreads across the abdomen. [en.wikipedia.org]

Retrocecal Appendicitis

With perforation, the appendix presumably perforates through the posterior parietal lining of the peritoneum. [hindawi.com]

Laparotomy revealed perforation of a retrocecal appendix into the retroperitoneum. [unboundmedicine.com]

We report the case of a 52 years old patient operated in emergency for perforated retrocecal appendicitis. [ncbi.nlm.nih.gov]

Diverticulosis

The authors report a case of this unusual clinical occurrence characterized by a picture of abdominal pain due to perforation of jejuneal diverticulum. [ncbi.nlm.nih.gov]

[…] or abscess K57.10 Diverticulosis of small intestine without perforation or abscess without bleeding K57.11 Diverticulosis of small intestine without perforation or abscess [icd10data.com]

This rare condition is mainly expressed as acute complications: gastrointestinal haemorrhage, mechanic obstruction of the small intestine or perforated diverticulum, requiring [ncbi.nlm.nih.gov]

Recurrent Small Bowel Obstruction

Peptic ulcer disease, perforated diverticular disease and a perforated carcinoma are all possible causes. Intussusception should be considered in children. [patient.info]

Conversion to laparotomy was required for 3 patients (17.6%) because of intestinal perforation (n = 1) or a convoluted mass of adherent bowel (n = 2). [ncbi.nlm.nih.gov]

Iatrogenic enterotomies occurred in 3 patients and small bowel perforation during manipulation occurred in 1 patient. [ncbi.nlm.nih.gov]

Posterior Inferior Cerebellar Artery Occlusion

The basilar perforators are homologs of the sulco-comissural arteries. [neuroangio.org]

Any compensation for perforator occlusion/compromise would have to be via (1) perforator redundancy from other vessels supplying the same region and/or (2) perforator anastomoses [asianjns.org]

Results A total of 298 perforating arteries were found in the dissected specimens, with a minimum of 15 to a maximum of 26 vessels per parafloccular perforating space. [neurosurgery-blog.com]

Small Bowel Obstruction

Laparotomy was performed, and undigested chestnuts were milked out through the largest perforation and the perforations were oversewn. [ncbi.nlm.nih.gov]

Laparoscopic management of a SBO due to a perforated IUD in an obese patient is possible. [ncbi.nlm.nih.gov]

(Redirected from Bowel perforation) Gastrointestinal perforation Other names Ruptured bowel,[1] gastrointestinal rupture Free air under the right diaphragm from a perforated [en.wikipedia.org]

Colonic Diverticulosis

In addition, the terms “perforated diverticular disease”, “perforated diverticulitis”, “colonic perforation”, and “colonic diverticulitis” were searched as keywords or words [pmj.bmj.com]

[…] or abscess K57.10 Diverticulosis of small intestine without perforation or abscess without bleeding K57.11 Diverticulosis of small intestine without perforation or abscess [icd10data.com]

[…] has been supported by a larger case series that found 29% of cases of perforation were using NSAIDs. 48 These drugs have a plausible mechanism of action in perforation in [pmj.bmj.com]

Jejunal Diverticulosis

A case with the rare complication of perforation and peritonitis is reported. The perforated diverticulum, partly hidden by the mesenteric fat may be hard to detect. [ncbi.nlm.nih.gov]

This study presents the case of a patient who had jejunal diverticulosis with perforation and abscess formation as a complication of Fabry's disease. [ncbi.nlm.nih.gov]

The perforation was observed during the operation. [mdmag.com]

Appendicitis

RESULTS: A total of 203 children with perforated appendicitis were identified. [ncbi.nlm.nih.gov]

Surgical findings were classified into one of four grades of perforation: I. localized or contained perforation, II. [ncbi.nlm.nih.gov]

RESULTS: During the study period, TPN was initiated in 31 (25.4%) of 122 patients operated for perforated appendicitis. [ncbi.nlm.nih.gov]

Chronic Otitis Externa

Decision Table for the Treatment of Dry Itchy Ears and Otomycosis Perforation of Eardrum or Mastoid Bowl. #1. Ketoconazole Cream #2. [waent.org]

Most perforated eardrums heal within a few weeks[4]. [pharmaceutical-journal.com]

Before using any drops in the ear, it is important to be sure you do not have a perforated eardrum (an eardrum with a hole in it). [entnet.org]

Chronic Otitis Media

PATIENTS AND INTERVENTION: One hundred four ears of 95 patients with chronic otitis media with perforation underwent type I tympanoplasty. [ncbi.nlm.nih.gov]

Postoperative perforation closure rates were also investigated. [ncbi.nlm.nih.gov]

Most TM perforations will heal spontaneously however large perforations may persist and referral for potential surgical management may be required. [teachmesurgery.com]

Appendectomy

Other complications include perforation, hemorrhage, and rarely intestinal obstruction. [ncbi.nlm.nih.gov]

RESULTS: A total of 203 children with perforated appendicitis were identified. [ncbi.nlm.nih.gov]

[…] with perforated appendicitis to the likelihood to be treated with antibiotics instead of surgery. [ncbi.nlm.nih.gov]

Triangular Fibrocartilage Complex Injury

[…] with lunate and/or ulnar chondromalacia D – TFCC perforation with lunate and/or ulnar chondromalacia and LT ligament perforation E – TFCC perforation with lunate and/or ulnar [boneandspine.com]

TFCC perforation + lunate and/or ulnar head chondromalacia D. TFCC perforation + lunate and/or ulnar head chondromalacia + lunotriquetral ligament perforation E. [en.wikipedia.org]

[…] chondromalacia, LT ligament perforation, and ulnocarpal arthritis Clinical Presentation Ulnar-sided wrist pain (frequently accompanied by clicking) after a fall or trauma [boneandspine.com]

Deviated Nasal Septum

Small perforations may whistle. Anterior rhinoscopy or fiberoptic endoscopy can be used to view septal perforations. [msdmanuals.com]

Palatal perforation was also observed in 2 patients which was repaired primarily and excellent healing occurred postoperatively. [ncbi.nlm.nih.gov]

Symptomatic septal perforations are occasionally repaired with buccal or septal mucous membrane flaps; closing the perforation with a silicone septal button is a reliable [msdmanuals.com]

Sigmoiditis

Journal de chirurgie Nov 1, 1989 Abstract The authors report their experience with 45 cases of perforated diverticular sigmoiditis (10 cases of mesocolic abscesses, 13 cases [meta.org]

Gilmore : Spontaneous perforation of the colon. Ann. Surg. 139, 833 (1954). [link.springer.com]

~IF ABSCESS OF INTESTINE CO-OCCURRENT AND DUE TO CHRONIC ULCERATIVE RECTOSIGMOIDITIS CHOOSE K63.0 | MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT 6011000124106~MAPADVICE~IF PERFORATION [bioportal.bioontology.org]

Large Bowel Obstruction

Histology of the resected sigmoid colon revealed endometriosis at the site of perforation. [ncbi.nlm.nih.gov]

(Redirected from Bowel perforation) Gastrointestinal perforation Other names Ruptured bowel,[1] gastrointestinal rupture Free air under the right diaphragm from a perforated [en.wikipedia.org]

A case of NSAID-induced colonic stricture leading to large bowel obstruction and secondary cecal perforation (previously unreported) is presented. [ncbi.nlm.nih.gov]

Posterior Cerebral Artery Occlusion

Along its course perforators, the anteromedial central or medial striate arteries, penetrate the anterior perforated substance. [medschool.slu.edu]

Compared with endovascular treatment, direct visual control of brainstem perforators is possible. [ncbi.nlm.nih.gov]

Compared to endovascular treatment, direct visual control of brainstem perforators is possible. [neurosurgerycns.wordpress.com]

Varicose Veins

[…] we suspected incompetent perforating veins of having a role in the development of recurrent varicose veins in some patients. [ncbi.nlm.nih.gov]

[…] veins, and 6 had mixed rechanalization due to perforator veins and refluxing saphenous stump. [ncbi.nlm.nih.gov]

In an endoscopic operative view, the nonvaricose, varicose, and incompetent perforating veins were clearly visualized and precisely dissected. [ncbi.nlm.nih.gov]

Posterior Cerebral Artery Thrombosis

Area of involement corresponds to the distribution of one perforating branch of the basilar artery. [neuroradiologycases.com]

[…] anterior thalamoperforator (from PCOM) posterior thalamoperforator (from P1) thalamogeniculate perforator (from P2) peduncular perforator (from P2) circumflex (long and short [radiopaedia.org]

[…] shown in Netter for example are direct P2 perforators). [neuroangio.org]