1960
DOI: 10.1001/archsurg.1960.01290200086014
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Injury of the Rectum by Tip of Disposable Enema

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Cited by 10 publications
(3 citation statements)
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“…The rectal wall is insensitive and it is probable that the severe pain and collapse is more frequently initiated following distension of the perirectal tissues by the enema fluid, than by penetration of the rectal mucosa by the tube. The passage of bright blood on withdrawal of the rectal tube, as occurred in this case, has been observed before by several authors (Blatt 1960; Wolfe 1966). In one such case with an extensive full thickness tear of the anterior rectal wall, the bleeding was excessive and required transfusion prior to suture of the laceration and exploratory laparotomy.…”
Section: Discussionsupporting
confidence: 84%
“…The rectal wall is insensitive and it is probable that the severe pain and collapse is more frequently initiated following distension of the perirectal tissues by the enema fluid, than by penetration of the rectal mucosa by the tube. The passage of bright blood on withdrawal of the rectal tube, as occurred in this case, has been observed before by several authors (Blatt 1960; Wolfe 1966). In one such case with an extensive full thickness tear of the anterior rectal wall, the bleeding was excessive and required transfusion prior to suture of the laceration and exploratory laparotomy.…”
Section: Discussionsupporting
confidence: 84%
“…Autonomic nervous system dysfunction after stroke, low physical activity, abdominal muscle weakness, and abnormal food intake cause constipation due to intestinal movement abnormality . Post‐stroke constipation is usually treated with laxatives or enema, but resistance might develop , causing damage to the anus . If constipation persists, it develops into paralytic ileus.…”
Section: Stroke‐related Constipationmentioning
confidence: 99%
“…Larson (1966) reports a case of a 72-year-old man whose rectum was perforated by an enema given by a hospital orderly. He also cites the three other cases of injury caused by disposable enemas that he was able to find in the literature (Blatt, 1960;Scott, 1960;Turell, 1960). Larson notes that, "A two-inch enema tip is sufficiently long for satisfactory administration of an enema and provides a degree of safety" (p. 448), and that a tip constructed of softer material than the common semi-rigid plastic would be safer.…”
Section: Colon Perforation From Cleansing Enemasmentioning
confidence: 99%