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A patient with a major thermal injury was found to have perforation of the transverse colon as well. The cause of this rare adjunct to burn is not known, but the theory is advanced that the transverse colon perforation was due to nonocclusive ischemic enterocolitis, which caused weakening of the bowel wall. Subsequent development of pseudo obstruction caused increased intraluminal pressure, which resulted in the colon perforation. The patient died 32 days post trauma and 23 days postcolon perforation of overwhelming candidiasis and cardiopulmonary and renal failure.