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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.

Authors+Show Affiliations

Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia.Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia.Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia.

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. Journal of surgical case reports. 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. Journal of surgical case reports. 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 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 -
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