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Ci Ji Yi Xue Za Zhi. 2018 Oct-Dec;30(4):247-249. doi: 10.4103/tcmj.tcmj_143_17.

Spontaneous colonic rupture related to the segmental absence of muscularis propria in an adult.

Author information

1
Department of Anatomic Pathology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.
2
School of Medicine, Tzu Chi University, Hualien, Taiwan.
3
Department of General Surgery, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.
4
Department of Radiology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

Abstract

Colonic perforation is a medical emergency that may be fatal if surgery cannot be performed in a timely manner. Colonic rupture in adults is caused by primary (idiopathic) and secondary factors. Although the segmental absence of muscularis propria (SAMP) is a recognized cause of secondary colonic rupture in neonates and infants, few cases have been reported in adults. Here, we present the case of a large colonic rupture caused by SAMP in a 60-year-old woman and a review of the literature. We suggest that SAMP should be included in the differential diagnosis of large perforation and/or periperforation membranous thinning of the colonic wall in adults.

KEYWORDS:

Colonic perforation; Colonic rupture; Perforation of small intestine; Segmental absence of muscularis propria; Segmental muscular defect of intestine

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