Lee Seokyoun, Kwon Jungnam, Lee Junhee
Department of Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.
Department of Emergency Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.
SAGE Open Med Case Rep. 2020 Jul 8;8:2050313X20938251. doi: 10.1177/2050313X20938251. eCollection 2020.
Constipation is a common disease that is frequently treated with cleansing enemas. Enemas are considered as effective and in some cases may cause serious adverse events. Iatrogenic perforations due to enemas lead to adverse outcomes in elderly patients with a poor general condition. Perforation remains an infrequent and rarely reported complication. In this work, we describe the cases of two patients with rectal perforation caused by a cleansing enema. The first patient had rectal perforation that led to a para-rectal abscess and the second patient had generalized peritonitis caused by rectal perforation.
便秘是一种常见疾病，常采用清洁灌肠进行治疗。灌肠被认为是有效的，但在某些情况下可能会导致严重不良事件。灌肠导致的医源性穿孔会给全身状况较差的老年患者带来不良后果。穿孔仍然是一种罕见且很少被报告的并发症。在这项研究中，我们描述了两例因清洁灌肠导致直肠穿孔的病例。第一例患者的直肠穿孔导致直肠旁脓肿，第二例患者因直肠穿孔引发了弥漫性腹膜炎。
