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[Thermal colorectal lesions]

C Neves1, C Resende, M Do Rosário

  • 1Serviço de Cirurgia Geral, Hospital de S. Francisco Xavier, Lisboa.

Acta Medica Portuguesa
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

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A scalding water enema caused severe thermal burns to the rectum and colon in an elderly woman. Flexible sigmoidoscopy and histology confirmed the diagnosis and extent of injury, highlighting potential enema complications.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Medical Case Reports

Background:

  • Enemas are common procedures for bowel preparation and management.
  • Complications from enemas, though rare, can be severe.
  • Thermal injury from enemas is an underreported event.

Observation:

  • A 94-year-old female presented with thermal burns affecting the rectum and colon.
  • The injury was attributed to a scalding water enema.
  • Flexible sigmoidoscopy revealed the extent of the thermal lesions.
  • Histological examination confirmed the diagnosis of thermal injury.

Findings:

  • The case report details the diagnostic utility of flexible sigmoidoscopy in assessing the depth and breadth of thermal colonic lesions.

Related Experiment Videos

  • Histology provided definitive diagnostic confirmation of thermal injury.
  • The authors emphasize the importance of reviewing potential complications associated with enema administration.

    • Implications:

    • This case underscores the critical need for careful temperature control during enema administration to prevent severe thermal injuries.
    • Healthcare providers should be aware of the potential for significant rectal and colonic damage from improperly administered enemas.
    • Prompt diagnosis and documentation using endoscopic and histological methods are crucial for managing such rare but serious complications.