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Intractable rectal stricture caused by hot water enema
Bong-Hyeon Kye1, Hyung-Jin Kim, Kang Moon Lee
1Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea.
Journal of the Korean Surgical Society
|December 8, 2011
Summary
Hot water enemas can cause severe rectal strictures, a rare but serious complication. Surgical resection and anastomosis effectively relieved obstructive symptoms in a patient with intractable rectal stricture.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Rectal burns from hot water enemas are uncommon.
- Intractable rectal stricture is a rare complication of such burns, often requiring intervention.
Observation:
- A 52-year-old woman developed aggravated anal pain and constipation after self-administering a hot water enema for chronic constipation.
- Nonoperative treatments, including endoscopic stenting, failed to alleviate her obstructive symptoms.
Findings:
- Laparoscopic proctosigmoidectomy and transanal coloanal anastomosis with ileal diversion were performed.
- The patient's obstructive symptoms significantly improved following the corrective surgery.
Implications:
- Surgical intervention, specifically resection with anastomosis, is a viable treatment for intractable rectal strictures caused by hot water enemas.
- This case highlights the potential severity of enema-induced rectal injuries and the effectiveness of surgical management.
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