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Related Experiment Videos

Anorectal injuries incident to enema administration. A recurring avoidable problem.

R J Saltzstein1, E Quebbeman, J L Melvin

  • 1Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee.

American Journal of Physical Medicine & Rehabilitation
|August 1, 1988
PubMed
Summary

Therapeutic enema use can cause anorectal injuries, especially in patients with existing perianal conditions. Prevention involves careful rectal examination and attention to patient discomfort during enemas.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Therapeutic enema administration is a common medical procedure.
  • Anorectal injuries are potential complications associated with enema use.

Observation:

  • Three cases of anorectal injury following therapeutic enema are presented.
  • All patients had pre-existing perianal pathology.
  • Hospitalization was prolonged for all cases, though managed nonoperatively.

Findings:

  • Premorbid perianal pathology increases the risk of injury from therapeutic enemas.
  • Nonoperative management was successful in the reported cases.
  • Preventable nature of these injuries is highlighted.

Implications:

  • Routine pre-enema rectal examination is crucial for identifying at-risk patients.

Related Experiment Videos

  • Attentiveness to perianal anatomy and patient-reported discomfort can prevent enema-related injuries.
  • Enhanced patient safety protocols for enema administration are recommended.