2001/07/01 by Manuel Rodríguez-Téllez, M. Rodriguez-Tellez, J. M. Herrerias Jr. +7 · 2 citations
Medicine · #Pneumothorax, Barotrauma, Emphysema #Nosocomial Infections in ICU
paper · pdf · doi:10.1055/s-2001-15317
At 2 hours before an elective colonoscopy indicated for abdominal pain in a 67-year-old woman, the patient’s sister wrongly administered 250 cm3 of “cleansing enema” containing ethyl alcohol 96 %. The patient experienced a perineal and anorectal burning pain, severe abdominal pain, profuse and involuntary diarrhea, tenesmus, rectal bleeding, and the emission of numerous white plaques mixed with and all over the liquid feces. We diagnosed a severe colonic mucosal sloughing with a possible secondary perforation. A conservative treatment was prescribed of intravenous fluids and electrolytes, and intravenous cefotaxime, metronidazole, and analgesics. We had no evidence-based reasons to prescribe her steroids, so we treated our patient’s acute proctocolitis as an ischemic colitis.