Intractable rectal stricture caused by hot water enema.
10.4174/jkss.2011.81.5.350
- Author:
Bong Hyeon KYE
1
;
Hyung Jin KIM
;
Kang Moon LEE
;
Hyeon Min CHO
Author Information
1. Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea. hmcho@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hot water enema;
Rectal burn;
Rectal stricture;
Constipation
- MeSH:
Burns;
Constipation;
Constriction, Pathologic;
Enema;
Female;
Humans;
Middle Aged;
Stents;
Water
- From:Journal of the Korean Surgical Society
2011;81(5):350-354
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rectal burns caused by hot water enema have been reported only occasionally and the majority of them were treated in a conservative manner. Although intractable rectal stricture caused by rectal burn is rare, it may be treated by endoscopic intervention or surgery. A 52-year-old woman who had used various methods of enema to treat her chronic constipation eventually undertook a hot water enema herself. After that, anal pain and constipation became aggravated prompting her to visit our clinic. Although various nonoperative treatments including endoscopic stenting were performed, her obstructive symptom did not improve and endoscopic findings had not changed. Hence, we performed a laparoscopic proctosigmoidectomy and transanal coloanal anastomosis with ileal diversion to treat the disease, and as a result, her obstructive symptom improved well. Corrective surgery such as resection of involved segment with anastomosis may be beneficial in relieving obstructive symptoms of an intractable rectal stricture caused by hot water enema.
