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Related Experiment Videos

Colitis after Hibiclens enema.

R D Hardin, F J Tedesco

    Journal of Clinical Gastroenterology
    |October 1, 1986
    PubMed
    Summary

    Enemas containing Hibiclens or soapsuds can cause acute colitis. Distinguishing this from other colitis types requires a detailed patient history, as endoscopic and histologic findings are often inconclusive.

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    Area of Science:

    • Gastroenterology
    • Colorectal Medicine

    Background:

    • Enemas are commonly used for bowel preparation and cleansing.
    • Certain enema ingredients, like soapsuds and chemical agents, pose risks to colonic mucosa.

    Purpose of the Study:

    • To investigate acute colitis following a Hibiclens enema.
    • To review complications associated with chemical-containing enemas.
    • To emphasize the diagnostic value of patient history in such cases.

    Main Methods:

    • Case report of acute colitis after Hibiclens enema.
    • Review of literature on complications of soapsuds and chemical enemas.
    • Analysis of endoscopic and histologic features in differentiating colitis etiologies.

    Main Results:

    • A patient developed acute colitis after a Hibiclens enema.
    • Endoscopic and histologic features were insufficient to differentiate from infectious or idiopathic colitis.
    • A thorough patient history was crucial for diagnosis.

    Conclusions:

    • Hibiclens and soapsuds enemas can induce acute colitis.
    • Chemical irritants in enemas damage the colonic mucosa.
    • These enemas should be considered a potential cause of acute colitis.

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