Dealing with the Perforated Colon
These are seen after endoscopy and also after barium enema, especially in diseased bowels. In infants, predominantly perforations by thermometer are seen. Occasionally, perforation can be caused by a biopsy. In Mannheim, 26 perforations of a total of 111 over a period of 6 years were iatrogenic. Although most perforations ought to be operated on immediately, some can be treated conservatively and watched as long as the patient shows no progression of symptoms and signs.