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Related Experiment Videos

Rectal necrosis after a phosphate enema.

I Smith1, N Carr, O J Corrado

  • 1Department of Geriatric Medicine, Royal Free Hospital, Hampstead, London.

Age and Ageing
|September 1, 1987
PubMed
Summary

Phosphate enemas can cause severe rectal injury, including ulceration and necrosis, even from minor trauma. Early recognition of painless rectal bleeding is crucial for timely intervention to prevent complications.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal procedures, including enema administration, can lead to iatrogenic injuries.
  • Phosphate enemata are commonly used for bowel preparation and constipation relief.

Observation:

  • A patient developed rectal ulceration following administration of a 130 ml disposable phosphates enema.
  • The injury appeared to be minor during the procedure.

Findings:

  • Rectal necrosis is a rare but serious complication of phosphates enema administration.
  • Painless rectal bleeding can be the sole presenting sign of such an injury.

Implications:

  • Increased awareness of rectal necrosis as a complication of phosphates enemata is warranted.
  • Painless rectal bleeding necessitates thorough rectal examination and prompt medical intervention.
  • Management may involve parenteral antibiotics and surgical procedures like colostomy.

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