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[Rectal burns caused by enema].

U Ginanneschi1, L Tenze, A Dell'Antonio

  • 1Istituto di Semeiotica Chirurgica, Università degli Studi di Trieste.

Annali Italiani Di Chirurgia
|May 1, 1990
PubMed
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Enema-related rectal injuries range from mucosal edema to bowel gangrene. Rectal burns, though rare, may lead to strictures requiring treatment for obstructive symptoms.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Enemas can cause significant rectal injuries, including mucosal edema and, rarely, gangrene of the large bowel.
  • Rectal burns are an uncommon but serious complication, with mild cases resembling caustic esophagitis.

Observation:

  • Rectal burns are a rare but serious complication of enema administration.
  • Mild rectal burns follow a clinical course similar to caustic esophagitis.

Findings:

  • The efficacy of corticosteroids, whether administered systemically or topically, for treating rectal burns is not established.
  • Rectal lesions heal through fibrosis, which can lead to stricture formation.

Implications:

  • Further research is needed to determine the role of corticosteroids in managing rectal burns.

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  • Stricture formation necessitates intervention only when obstructive symptoms arise, highlighting the importance of monitoring for complications.