Rectal perforations caused by cleansing enemas in chronically constipated patients: Two case reports

Area of Science:

• Gastroenterology
• Colorectal Surgery

Background:

• Constipation is a prevalent condition often managed with cleansing enemas.
• Enemas are generally effective but carry risks of serious adverse events.

Observation:

• This report details two cases of iatrogenic rectal perforation resulting from cleansing enemas.
• The first patient developed a para-rectal abscess, while the second experienced generalized peritonitis.

Findings:

• Rectal perforation is an infrequent but severe complication of enema use.
• Elderly patients with poor general health are particularly vulnerable to adverse outcomes.

Implications:

• These cases highlight the critical need for caution when administering enemas, especially in vulnerable populations.
• Awareness of this rare complication is crucial for preventing severe patient outcomes.