"All of the natural disease processes that can end up with a bowel perforation, we have excluded all of these, which leaves the only likely explanation being trauma.

Source: https://www.leicestermercury.co.uk/news/local-news/vicious-assault-baby-led-blunt-8545741

During the event, Perry refrained from publicly disclosing the cause of the perforation.

Source: https://www.inquisitr.com/matthew-perry-said-jennifer-aniston-offered-most-support-during-his-struggle-with-alcohol-addiction

'Everyone should be advised not to stifle sneezes by pinching the nose while keeping the mouth closed as it can result in tracheal perforation.'

Source: https://www.dailymail.co.uk/news/article-12860633/Doctors-stifling-sneeze-rip-windpipe-dundee-ct-scan-ninewells.html?ns_mchannel=rss&ns_campaign=1490&ito=1490

They included a traumatic bowel perforation which led to a fatal infection, which forensic pathologist Dr Michael Biggs said could only have been sustained through blunt force trauma such as a punch, kick or stamp.

Source: https://www.breakingnews.ie/world/stepfather-guilty-of-murdering-10-month-old-found-dead-in-cot-1510370.html