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Report of a Case

LESTER J. BLATT, M.D.

AMA Arch Surg. 1960;80(3):442-444.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The paucity of recorded perforations of the extraperitoneal portion of the rectum during the course of an enema seems warrant enough for an additional case report.

A 70-year-old man stated that he had received an enema of the disposable bag type * five days previously. The insertion of the enema tip was associated with sudden, severe, rectal pain followed by tenesmus, urgency to defecate, and a feeling of faintness. He passed bright red blood per rectum. Pain in the rectal region persisted and became gradually worse over the next five days. When first seen he was markedly weakened, with additional symptoms of loss of defecatory sense and incontinence of stool while standing to urinate. He denied any bowel abnormalities prior to the enema other than occasional bright red blood spots on the toilet tissue.

Examination revealed an acutely ill, debilitated man. The abdomen was soft and nontender, without palpable masses. Bowel . . . [Full Text PDF of this Article]

Author Affiliations
New Rochelle, N.Y.

From the Proctology Service, the Surgical Division, Montefiore Hospital, New York.

Footnotes
Submitted for publication July 17, 1959.

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