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Self-administered alcohol enema causing chemical proctocolitis
Authors Seki T, Fukushima H
Received 10 March 2019
Accepted for publication 10 May 2019
Published 11 June 2019 Volume 2019:11 Pages 129—132
DOI https://doi.org/10.2147/OAEM.S208214
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Hans-Christoph Pape
Tadahiko Seki,1 Hidetada Fukushima2
1Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara, Japan; 2Department of Emergency and Critical Care Medicine, Nara Medical University, Nara, Japan
Background: There are few reports of chemical proctocolitis induced by transanal administration of alcohol.
Case report: The patient was a 21-year-old male with no medical history. He transanally pumped 1.8 L of 35% alcohol, experienced melena and disturbance of consciousness, and was transported by ambulance to our hospital. Abdominal computed tomography and endoscopy findings indicated ischemic colitis. He was administered conservative treatment and discharged after 9 days of hospital stay.
Conclusion: Reports on alcohol-induced chemical proctocolitis are rare. None of the reported cases involved perforation or required surgery, and all were resolved with conservative therapy, as observed in the study patient.
Keywords: rectal administration, colonoscopy, ischemic colitis, conservative therapy
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