Korean J Gastroenterol.  2016 Mar;67(3):158-160. 10.4166/kjg.2016.67.3.158.

Self-administered Enema Related Rectal Perforation

• Lee JM
• Jung KW

• KMID: 2373418
• DOI: http://doi.org/10.4166/kjg.2016.67.3.158

Abstract

No abstract available.

MeSH Terms

Aged
Colonoscopy
Enema/*adverse effects
Humans
Intestinal Perforation/*diagnosis/etiology
Male
Rectal Diseases/*diagnosis/diagnostic imaging/etiology
Tomography, X-Ray Computed

Figure

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  Fig. 1. Initial sigmoidoscopic findings.(A) Active bleeding was noted on lower rectum. (B) Endoscopic clipping was attempted to achieve hemostasis.

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  Fig. 2. Abdominal CT findings. (A, B) About 6.5 cm sized hematoma is seen on the left lateral wall of lower rectum (arrows). No definite mass or wall thickening suggestive of malignancy is noted on CT images.

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  Fig. 3. Follow-up sigmoidoscopic findings. One week later, the ulcer has slightly improved but deep and huge round shaped ulceration was still seen on rectum. Blood clots were attached to the surface of ulcer and blood kept on oozing from the ulcer base.

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  Fig. 4. Follow-up abdominal CT scan taken one week later shows partial liquefaction of the rectal and perirectal hematoma and suspected rectal perforation through the hematoma (arrows).

Reference

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