This case report documents a rare and extraordinary occurrence of sigmoid colon perforation induced by compressed air. The patient, a [insert demographics] with no significant medical history, presented with acute abdominal pain and signs of peritonitis following an accidental exposure to compressed air. Diagnostic investigations, including imaging and exploratory laparotomy, confirmed the presence of sigmoid colon perforation. The case highlights the importance of recognizing unconventional mechanisms of injury and underscores the need for heightened awareness in occupational safety settings. The management and surgical intervention are discussed, emphasizing the successful outcome achieved despite the unusual etiology.

Sigmoid colon perforation, compressed air injury, occupational accidents

Jin Yi Choi, et al, ''Colon Barotrauma Caused by Compressed Air,'' in Intest Res, Vol. 11, No. 3, pp. 213- 216, 2013.

Suh HH, Kim YJ, Kim SK, ''Colorectal injury by compressed air-a report of 2 cases,'' in J Korean Med Sci,

Orsoni P, Berdah S, Verrier C, et al, ''Colonic perforation due to colonoscopy: a retrospective study of 48 cases,'' in Endoscopy, Vol. 29, pp. 160-164, 1997.

Marwah S, Gupta R, Singh I, Marwah N, ''Compressed air injury of the colon-delayed presentation,'' in Indian J Gastroenterol, Vol. 21, pp. 206-207, 2002.

Tulchinsky H et al, ''Incidence and management of colonoscopic perforations: 8 years’ experience,'' World J Gastroenterol, Vol. 12, No. 26, pp. 4211-4213, July 2006.

Zunzunegui RG, Werner AM, Gamblin TC, Stephens JL, Ashley DW, ''Colorectal blowout from compressed air: case report,'' in J Trauma, Vol. 52, No. 4, pp. 793-795, 2002.

Ergin et al, ''A Rare Case of Colorectal Injury With Compressed Air,'' in J Med Cases,Vol. 4, No. 3, pp. 159-160, 2013.

Stone GW, ''Rupture of the bowel caused by compressed air,'' in Lancet, Vol. 2, pp. 216, 1904.

McDonnell WM, Loura F, Pointon MJ, Greenson JK, ''Cat scratch colon,'' in Endoscopy, Vol. 39, pp. 459- 461, 2007.