Klimko Artsiom, Tieranu Cristian G, Preda Carmen M, Olteanu Andrei O, Ionescu Elena M
Division of Physiology and Neuroscience, University of Medicine and Pharmacy "Carol Davila", Bucharest, ROU.
Department of Gastroenterology, "Elias" Emergency University Hospital, Bucharest, ROU.
Cureus. 2021 Mar 17;13(3):e13946. doi: 10.7759/cureus.13946.
In rare instances, rectal cleansing enemas may cause rectal injury, precipitating lower gastrointestinal hemorrhage (LGIH). In a subset of LGIH cases, the bleeding diathesis may fail to respond to traditional treatment modalities and can be life-threatening. We present a case of an 84-year-old female with cleansing enema induced rectal bleeding - she was a poor surgical candidate and due to lack of access to in-house interventional radiology teams, hemostasis was attempted with sui generis use of the Sengstaken-Blakemore tube. Our transanal application of the Sengstaken-Blakemore tube for the management of LGIH contributes further evidence supporting the use of balloon tamponade in achieving hemostasis in select patients when traditional therapeutic modalities are unavailable.
在罕见情况下，直肠清洁灌肠可能导致直肠损伤，引发下消化道出血（LGIH）。在一部分LGIH病例中，出血素质可能对传统治疗方式无反应，且可能危及生命。我们报告一例84岁女性因清洁灌肠导致直肠出血的病例——她不适合手术，且由于无法获得院内介入放射科团队的帮助，遂尝试使用独特的Sengstaken - Blakemore管进行止血。我们经肛门应用Sengstaken - Blakemore管治疗LGIH，为在传统治疗方式不可用时，使用球囊压迫法在特定患者中实现止血提供了更多证据支持。
