Topcu Tuğba
Akçakoca State Hospital, Akçakoca - Düzce, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Oct;9(4):297-9.
Retrograde irrigation enemas are commonly used in the treatment of chronic constipation especially in the elderly. We report a case of colorectal perforation due to self-administered retrograde water enema. A 55 year-old chronically constipated male patient was admitted to the emergency unit with severe diffuse abdominal pain. He administered rectal enema using a garden hose directly connected to the water two hours before admission, until he felt a sudden sharp abdominal pain. At the operation he was found to have a perforation along the antimesenteric border of distal sigmoid colon extending to the upper rectum. Primary resection and anastomosis with intraoperative colonic lavage was performed. Postoperative course was favorable without any wound infection or intraabdominal sepsis.
逆行灌肠常用于治疗慢性便秘，尤其是老年人。我们报告一例因自行进行逆行水灌肠导致的结肠穿孔病例。一名55岁慢性便秘男性患者因严重弥漫性腹痛入住急诊科。入院前两小时，他使用直接连接水源的花园软管自行进行直肠灌肠，直至突然感到剧烈腹痛。手术中发现他在乙状结肠远端系膜对侧缘至直肠上段有一处穿孔。进行了一期切除吻合术并术中结肠灌洗。术后过程顺利，无任何伤口感染或腹腔内感染。
