O Madhala1, F Greif, M Cohen, S Lelcuk. 1. Department of Surgery B, Rabin Medical Center (Beilinson Campus), and Tel Aviv University School of Medicine, Tel Aviv, Israel.
Abstract
BACKGROUND: Current methods of large bowel preparation prior to colonoscopy, barium enema and surgery are extremely effective in cleaning the bowel of feces. We rationalize, therefore, that under these conditions rectal perforations secondary to barium and cleansing enema could be treated expectantly, namely either defer or completely avoid immediate surgery. PATIENTS: Two female patients with major rectal perforations secondary to barium and cleansing enema who had thoroughly prepared large bowel were treated conservatively. RESULTS: Both patients did well without surgery and were discharged without any long-term sequela. CONCLUSION: Since a large number of iatrogenic perforations of the rectum occur in patients with well-prepared and clean bowel immediate surgery can be deferred or avoided all together without compromising them.
BACKGROUND: Current methods of large bowel preparation prior to colonoscopy, barium enema and surgery are extremely effective in cleaning the bowel of feces. We rationalize, therefore, that under these conditions rectal perforations secondary to barium and cleansing enema could be treated expectantly, namely either defer or completely avoid immediate surgery. PATIENTS: Two female patients with major rectal perforations secondary to barium and cleansing enema who had thoroughly prepared large bowel were treated conservatively. RESULTS: Both patients did well without surgery and were discharged without any long-term sequela. CONCLUSION: Since a large number of iatrogenic perforations of the rectum occur in patients with well-prepared and clean bowel immediate surgery can be deferred or avoided all together without compromising them.
Authors: Carla Lorena Vasques Mendes de Miranda; Camila Soares Moreira de Sousa; Nathalie Gonçalves Nascimento Pinheiro Cordão; Breno Braga Bastos; Francisco Edward Mont'Alverne Filho Journal: Radiol Bras Date: 2017 Sep-Oct