Cappell M S, Simon T
Department of Medicine, UMDNJ-Robert Wood Johnson (Rutgers) Medical School, New Brunswick.
Am J Gastroenterol. 1993 Jan;88(1):122-6.
A 33-yr-old white male presented with bloody diarrhea, leukocytosis, and left lower quadrant direct and rebound tenderness after a self-administered concentrated hydrofluoric acid enema while intoxicated from intranasal cocaine administration. Intraoperative flexible sigmoidoscopy and a gastrografin enema revealed severe mucosal ulceration and edema in the rectum and sigmoid colon. Laparotomy revealed an ulcerated, necrotic, and purulent sigmoid colon and intraperitoneal pus. The patient underwent a limited sigmoid resection and a Hartman procedure. Five months later, the patient presented with a rectal stricture which was resected. This case demonstrates that a hydrofluoric acid enema can cause fulminant acute colitis and chronic colonic strictures.
一名33岁的白人男性，在因鼻内使用可卡因中毒期间自行进行浓缩氢氟酸灌肠后，出现了血性腹泻、白细胞增多以及左下腹直接和反跳痛。术中柔性乙状结肠镜检查和泛影葡胺灌肠显示直肠和乙状结肠有严重的黏膜溃疡和水肿。剖腹探查发现乙状结肠溃疡、坏死且有脓性渗出，还有腹腔积脓。患者接受了有限的乙状结肠切除术和哈特曼手术。五个月后，患者出现直肠狭窄并接受了切除术。该病例表明，氢氟酸灌肠可导致暴发性急性结肠炎和慢性结肠狭窄。
