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- Title
Fulminant Acute Colitis following a Self-Administered Hydrofluoric Acid Enema.
- Authors
Cappell, Mitchell S.; Simon, Todd
- Abstract
A 33-yr-old white male presented with bloody diarrhea, leukocytosis, and left lower quadrant direct and rebound tenderness after a self-administered concentrated hydrofluoric acid enema while intoxicated from intranasal cocaine administration. Intraoperative flexible sigmoidoscopy and a gastrografin enema revealed severe mucosal ulceration and edema in the rectum and sigmoid colon. Laparotomy revealed an ulcerated, necrotic, and purulent sigmoid colon and intraperitoneal pus. The patient underwent a limited sigmoid resection and a Hartman procedure. Five months later, the patient presented with a rectal stricture which was resected. This case demonstrates that a hydrofluoric acid enema can cause fulminant acute colitis and chronic colonic structures.
- Subjects
THERAPEUTIC complications; HYDROFLUORIC acid; ENEMA; COLITIS; SIGMOIDOSCOPY; ABDOMINAL surgery
- Publication
American Journal of Gastroenterology (Springer Nature), 1993, Vol 88, Issue 1, p122
- ISSN
0002-9270
- Publication type
Article