da Fonseca J, Brito M J, Freitas J, Leal C
Department of Pathology, Hospital Garcia de Orta, Almada, Portugal.
Am J Gastroenterol. 1998 Dec;93(12):2601-2. doi: 10.1111/j.1572-0241.1998.00735.x.
We report two cases of acute proctocolitis caused by rectal application of caustic products of domestic use. One 61-yr-old woman applied an ammonia solution enema; the other patient, a 63-yr-old woman, accidentally applied an enema containing lye. Both patients presented with intense anal pain, but the first patient also had abdominal pain with guarding, hematochezia, and leucocytosis. An acute proctocolitis was found at sigmoidoscopy in both patients. Only conservative and symptomatic measures were prescribed in both cases, and a clinical and endoscopic recovery was seen. In spite of persistent fibrosis in the lamina propria, no signs of stenosis were found.
我们报告两例因直肠应用家用腐蚀性产品导致的急性直肠结肠炎。一名61岁女性使用了氨溶液灌肠；另一名患者是一名63岁女性，意外使用了含有碱液的灌肠剂。两名患者均出现剧烈肛门疼痛，但第一名患者还伴有腹痛伴肌紧张、便血和白细胞增多。两名患者在乙状结肠镜检查时均发现急性直肠结肠炎。两例均仅采用保守和对症治疗措施，临床和内镜检查均恢复。尽管固有层存在持续性纤维化，但未发现狭窄迹象。
