Tiwari Abhinav, Sharma Himani, Qamar Khola, Alastal Yaseen, Sodeman Thomas, Nawras Ali
Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA.
Department of Gastroenterology, University of Toledo Medical Center, Toledo, OH, USA.
Case Rep Gastrointest Med. 2017;2017:5278971. doi: 10.1155/2017/5278971. Epub 2017 Oct 4.
Diarrhea and fecal incontinence are common in critically ill patients and present a challenging problem in patient management. The Flexi-Seal® Fecal Management System is a device to divert the stools away from the patient, thus improving the care to patients with fecal incontinence. There have been only few case reports describing the complications with the use of this device. Here, we present a case of a 77-year-old woman who was admitted due to massive hematochezia while on anticoagulation. She was found to have a large rectal ulcer caused by the Flexi-Seal device, used during the last hospital stay for fecal incontinence. Flexi-Seal device can be effective for the management of incontinence; however, caution should be exercised during handling and pressure from the retention balloon should be relieved periodically.
腹泻和大便失禁在重症患者中很常见，给患者管理带来了具有挑战性的问题。Flexi-Seal®粪便管理系统是一种将粪便从患者身边引开的装置，从而改善对大便失禁患者的护理。仅有少数病例报告描述了使用该装置的并发症。在此，我们报告一例77岁女性患者，她在接受抗凝治疗期间因大量便血入院。她被发现有一个由Flexi-Seal装置引起的巨大直肠溃疡，该装置是她上次住院治疗大便失禁时使用的。Flexi-Seal装置在管理失禁方面可能有效；然而，在操作过程中应谨慎，并且应定期释放保留气囊的压力。
