@article{f46baee068a311df928f000ea68e967b,
title = "Rectum perforation during transanal irrigation: a case story",
abstract = "STUDY DESIGN: Case report. OBJECTIVES: Report a case of rectum perforation during transanal irrigation (TAI). SETTING: Clinic for Spinal Cord Injuries, and Departments of Gastroenterological Surgery and Radiology. CASE REPORT: A 54-year-old woman with spinal cord lesion for 35 years emptied for years her bowel using oral laxative. This became more difficult and took more than 2 h three times a week with reflex stimulation after a chlysma. She wanted to try TAI, and went through the procedure with a nurse one time. The next time she performed the TAI by herself without difficulty. Two hours later she started shivering with a temperature at 38.3 degrees C with normal blood pressure (BP). At rectal exploration, a spoonful fresh blood was found. After another 2 h, she became septic and was transferred to a gastroenterological surgical department. An abdominal X-ray gave no suspicion of free air in the abdomen. Sigmoideoscopy showed 3-5 cm oral to the dentate line a 1 x 1 cm transmural circular lesion. A colon X-ray with water contrast showed a perforation of approximately 2 x 0.5 cm. CONCLUSION: Even in experienced individuals who are proper trained, TAI can cause rectal perforation, which always have to be born in mind.",
author = "F Biering-S{\o}rensen and J Bing and P Berggreen and Olesen, {G M V}",
note = "Keywords: Bowen's Disease; Female; Humans; Intestinal Perforation; Irrigation; Laxatives; Middle Aged; Spinal Cord Injuries",
year = "2008",
doi = "10.1038/sc.2008.95",
language = "English",
volume = "47",
pages = "266--7",
journal = "Spinal Cord",
issn = "1362-4393",
publisher = "nature publishing group",
number = "3",
}