Intractable rectal stricture caused by hot water enema
계봉현, 김형진, 이강문, 조현민,
소속 상세정보
계봉현 ( Kye Bong-Hyeon )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
김형진 ( Kim Hyung-Jin )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
이강문 ( Lee Kang-Moon )
Catholic University School of Medicine Department of Internal Medicine
조현민 ( Cho Hyeon-Min )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
KMID : 0371320110810050350
Abstract
Rectal burns caused by hot water enema have been reported only occasionally and the majority of them were treated in a conservative manner. Although intractable rectal stricture caused by rectal burn is rare, it may be treated by endoscopic intervention or surgery. A 52-year-old woman who had used various methods of enema to treat her chronic constipation eventually undertook a hot water enema herself. After that, anal pain and constipation became aggravated prompting her to visit our clinic. Although various nonoperative treatments including endoscopic stenting were performed, her obstructive symptom did not improve and endoscopic findings had not changed. Hence, we performed a laparoscopic proctosigmoidectomy and transanal coloanal anastomosis with ileal diversion to treat the disease, and as a result, her obstructive symptom improved well. Corrective surgery such as resection of involved segment with anastomosis may be beneficial in relieving obstructive symptoms of an intractable rectal stricture caused by hot water enema.
키워드
Hot water enema; Rectal burn; Rectal stricture; Constipation
원문 및 링크아웃 정보
등재저널 정보