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Updated: Jan 21, 2026
10:29
The FlyBar: Administering Alcohol to Flies
Published on: May 18, 2014
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Self-administered alcohol enema causing chemical proctocolitis.
Tadahiko Seki1, Hidetada Fukushima2
1Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara, Japan.
Open Access Emergency Medicine : OAEM
|July 30, 2019
Summary
Transanal alcohol administration can cause chemical proctocolitis, a rare condition. This case report highlights a patient who recovered with conservative treatment, with no surgical intervention required for this alcohol-induced colitis.
Area of Science:
- Gastroenterology
- Toxicology
Background:
- Chemical proctocolitis is infrequently reported following transanal alcohol administration.
- This case highlights a rare instance of severe proctocolitis induced by a large volume of concentrated alcohol instilled rectally.
Purpose of the Study:
- To report a rare case of chemical proctocolitis induced by transanal alcohol administration.
- To discuss the clinical presentation, diagnostic findings, and management of alcohol-induced proctocolitis.
Main Methods:
- A case report of a 21-year-old male who self-administered 1.8 L of 35% alcohol transanally.
- Diagnostic evaluation included abdominal computed tomography (CT) and endoscopy.
- Treatment involved conservative management.
Main Results:
- The patient presented with melena and altered consciousness.
- Abdominal CT and endoscopic findings were consistent with ischemic colitis.
- The patient recovered with conservative treatment and was discharged after a 9-day hospital stay.
Conclusions:
- Alcohol-induced chemical proctocolitis is a rare but serious condition.
- Reported cases, including this one, have not required surgical intervention and resolved with conservative therapy.
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