A Case of Idiopathic Perforation of the Transverse Colon

Abstract

We report herein on a rare case of idiopathic perforation of the transverse colon. A 76-year-old female was hospitalized with abdominal pain and hemorrhagic stools. An abdominal CT showed free air and fluid in the intraperitoneal space. We immediately performed emergency surgery under the diagnosis of perforation of the colon. A perforation on the opposite side of the mesentery of the transverse colon and a large amount of feces in the abdominal cavity were found. A Hartmann operation was performed. Due to septic shock, the patient needed intensive care. The histopathological findings revealed idiopathic perforation of the colon. We have concluded that idiopathic perforation of transverse colon is one of the causes of diffuse peritonitis.