Korean J Gastrointest Endosc > Volume 4(1); 1984 > Article

Korean Journal of Gastrointestinal Endoscopy 1984;4(1): 69-72.

관장으로 유발된 궤양을 동반한 장염 ( Enema - induced colitis ) 1예 ( A Case of Enema - Induced Colitis )

신현호, 유영길, 박충기, 방익수, 장린, 민영일 (Hyun Ho Shin, Young Kil Yoo, Choong Gee Park, Ik Soo Bang, Rin Chang and Young Il Min)

Abstract

Enemas are sometimes used in hospital and domicilliary practice and occasionally by patients themselves without a valid indication. The present repart is one in which enernas were done for 3 months by a patient himself to treat his hemorrhoid and resulted in severe inflamimatory change with large-siaed illdefined shallow ulceration in rectum and sigmoid colon. This patient, a 53 year old male, entered the hospital with the complaint of diarrhea with passage of bloody muct.. Colonoscopic examination revealed severe inflammatory change, friable mucosa and several relatively large-sized ill-defined shallow ulceration in rectum and sigmoid colon. A biopsy was performed and microscapic examination revealed intense infiltrates and plasma cells and crypt abscess with decreased goblet cells in the lamiina propria. The submucosa showed edema with infiltrates of chronic inflammatory cells and neutrophils. Conservative treatment with discontinue of enemas and fluid supply was performed. And his symptoms were improved. After second week, follow-up colonoscopy revealed inflammatory changes were improved.