Abstract |
We present a rare case of colon perforation caused by hydrostatic irrigation enema in a patient with chronic renal failure. A 76-year-old woman was admitted to our hospital because of an exacerbation of lumbar pain and increased difficulty in walking. She had a medical history of traumatic neck pain and chronic lower back pain, which had been treated with non-steroidal anti-inflammatory drugs ( NSAIDs) for 8 years. On admission, the C-reactive protein level was 6.8 mg/dl, so we planned to do a colonoscopy to determine the cause of inflammation. The patient developed abdominal pain approximately 3.5 h after a pre-procedural enema was administered. An emergency operation was performed and a small perforation was found in the sigmoid colon. We conclude that the cause of the colon perforation was a combination of the use of a hydrostatic retrograde irrigation enema in a patient with chronic renal failure who had been treated with long-term NSAIDs.
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Authors | H Nakamura, M Iyoda, K Sato, K Kitazawa |
Journal | The Journal of international medical research
(J Int Med Res)
2005 Nov-Dec
Vol. 33
Issue 6
Pg. 707-10
ISSN: 0300-0605 [Print] England |
PMID | 16372590
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
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Topics |
- Aged
- Anti-Inflammatory Agents, Non-Steroidal
(therapeutic use)
- Colon, Sigmoid
(injuries)
- Colonoscopy
(methods)
- Enema
(adverse effects)
- Female
- Humans
- Inflammation
(diagnosis, drug therapy)
- Kidney Failure, Chronic
- Peritonitis
(diagnosis, etiology, surgery)
- Tomography Scanners, X-Ray Computed
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