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© 1987 Oxford University Press

research-article

RECTAL NECROSIS AFTER A PHOSPHATE ENEMA

IAN SMITH, Senior House Officer, NICK CARR, Senior House Officer, OLIVER J. CORRADO, Senior Registrar and ARCHIE YOUNG, Consultant Physician and Senior Lecturer

Department of Geriatric Medicine, Royal Free Hospital and School of Medicine Pond Street, Hampstead, London NW3 2QG

Dr Young.

We describe a patient who developed rectal ulceration after an apparently minor injury caused during the administration of a 130 ml ‘disposable’ phosphates enema. Treatment included parenteral antibiotics and a colostomy. Minor degrees of injury by rectal procedures are common. Rectal necrosis is a complication of injury during the administration of phosphates enemata which, although rare, deserves greater awareness. Painless rectal bleeding may be the only sign of injury and is an indication for thorough and repeated rectal examinations and early intervention.

accepted in revised form March 19, 1987.


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