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[Enema-induced intestinal perforation. A case report].

M Messina1, E Ferrucci, D Meucci

  • 1Dipartimento di Pediatria, Ostetricia e Medicina della Riproduzione, Sezione di Chirurgia Pediatrica, Università degli Studi di Siena, Siena, Italy. messinam@unisi.it

Minerva Chirurgica
|September 5, 2003
PubMed
Summary

A severe case of pediatric constipation led to rectal perforation during an enema, requiring colostomy. Surgical intervention, including sigmoid colon resection, resolved the chronic constipation, restoring normal bowel function.

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Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Reports

Background:

  • Chronic constipation is common in children, sometimes necessitating interventions like enemas.
  • Enemas, while generally safe, carry a risk of severe complications, including rectal perforation.

Observation:

  • A pediatric patient with lifelong chronic constipation experienced rectal perforation during an enema.
  • This complication necessitated a Mikulitz colostomy on the descending colon.

Findings:

  • The underlying cause was identified as an elongated sigmoid colon (dolicho-sigmoid).
  • Surgical resection of the affected sigmoid colon segment and subsequent re-canalization were performed.

Implications:

  • This case highlights the potential for severe complications from enema use in pediatric constipation.

Related Experiment Videos

  • Surgical management, including sigmoid resection, can effectively treat severe chronic constipation caused by anatomical abnormalities.