Sharma Manik, Thandassery Ragesh Babu, Hilli Shatha Al, Kaabi Saad Al
Consultant in Gastroenterology, Department of Gastroenterology, Hamad Medical Corporation, Doha, Qatar.
Specialist in Gastroenterology, Department of Gastroenterology, Hamad Medical Corporation, Doha, Qatar
Trop Doct. 2014 Jul;44(3):186-8. doi: 10.1177/0049475514524392. Epub 2014 Feb 24.
Severe ulcerative colitis can be associated with bowel perforation. Bowel perforation rarely leads on to abdominal wall and scrotal wall emphysema. Bowel perforation in such cases can be spontaneous or iatrogenic (colonoscopy-related). We report a rare scenario where a patient presented with abdominal wall and scrotal emphysema after topical corticosteroid enema-induced traumatic rectal perforation. Topical corticosteroids were stopped immediately after identification of rectal perforation. The patient was managed conservatively with intravenous antibiotics. With this report we intend to sensitise clinicians and topical enema manufacturers regarding this rare complication.
重症溃疡性结肠炎可伴有肠穿孔。肠穿孔很少会导致腹壁和阴囊壁气肿。此类病例中的肠穿孔可能是自发性的，也可能是医源性的（与结肠镜检查相关）。我们报告了一种罕见的情况，一名患者在局部使用皮质类固醇灌肠剂导致外伤性直肠穿孔后出现腹壁和阴囊气肿。在确认直肠穿孔后立即停用局部皮质类固醇。患者接受了静脉注射抗生素的保守治疗。通过本报告，我们旨在提高临床医生和局部灌肠剂制造商对这种罕见并发症的认识。
