Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier's Gangrene.J Surg Case Rep. 2020 Feb; 2020(2):rjz414.JS
Abstract
Rectal injuries secondary to fleet enemas are the result of a chemical irritation as well as mechanical trauma causing localized perforation and mucosal necrosis. These injuries can be managed expectantly. Fournier's Gangrene is a life-threatening, fulminant soft tissue infection of the genito-perineal region commonly secondary to a perianal infection, requiring extensive debridement of all affected tissue and judicious antibiotic therapy. This distinction is critical in the management of the current case, allowing for limited debridement and judicious observation without a resection of the injured rectum. A diverting colostomy allows for effective faecal management and minimizes contamination of the perineal wound.
Links
Publisher Full Text
Pub Type(s)
Case Reports
Language
eng
PubMed ID
32123559
Citation
Liang, Yi, et al. "Iatrogenic Rectal Injury Associated With Fleet Enema Administration Masquerading as Fournier's Gangrene." Journal of Surgical Case Reports, vol. 2020, no. 2, 2020, pp. rjz414.
Liang Y, Di Re A, Ctercteko G. Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier's Gangrene. J Surg Case Rep. 2020;2020(2):rjz414.
Liang, Y., Di Re, A., & Ctercteko, G. (2020). Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier's Gangrene. Journal of Surgical Case Reports, 2020(2), rjz414. https://doi.org/10.1093/jscr/rjz414
Liang Y, Di Re A, Ctercteko G. Iatrogenic Rectal Injury Associated With Fleet Enema Administration Masquerading as Fournier's Gangrene. J Surg Case Rep. 2020;2020(2):rjz414. PubMed PMID: 32123559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier's Gangrene.
AU - Liang,Yi,
AU - Di Re,Angelina,
AU - Ctercteko,Grahame,
Y1 - 2020/02/24/
PY - 2019/12/10/received
PY - 2019/12/31/accepted
PY - 2020/3/4/entrez
PY - 2020/3/4/pubmed
PY - 2020/3/4/medline
KW - Fournier Gangrene
KW - colostomy
KW - management
KW - rectal injury
KW - sigmoidoscopy
SP - rjz414
EP - rjz414
JF - Journal of surgical case reports
JO - J Surg Case Rep
VL - 2020
IS - 2
N2 - Rectal injuries secondary to fleet enemas are the result of a chemical irritation as well as mechanical trauma causing localized perforation and mucosal necrosis. These injuries can be managed expectantly. Fournier's Gangrene is a life-threatening, fulminant soft tissue infection of the genito-perineal region commonly secondary to a perianal infection, requiring extensive debridement of all affected tissue and judicious antibiotic therapy. This distinction is critical in the management of the current case, allowing for limited debridement and judicious observation without a resection of the injured rectum. A diverting colostomy allows for effective faecal management and minimizes contamination of the perineal wound.
SN - 2042-8812
UR - https://www.unboundmedicine.com/medline/citation/32123559/Iatrogenic_rectal_injury_associated_with_fleet_enema_administration_masquerading_as_Fournier's_Gangrene
L2 - https://academic.oup.com/jscr/article-lookup/doi/10.1093/jscr/rjz414
DB - PRIME
DP - Unbound Medicine
ER -