Acid burns of the rectum and colon

Abstract

The case of a patient with acid burns of the large bowel from a self-administered enema of 95 percent sulfuric acid solution is reported. The authors were unable to find a similar case in the English medical literature. The patient presented in metabolic acidosis, and flexible sigmoidoscopy was of limited value. Peritoneal signs warranted early laparotomy, which revealed coagulation necrosis of the anus, rectum, and colon up to the hepatic flexure without any free perforation. The extent of damage was more severe than seen in the upper digestive tract from acid ingestion. Juxtaposed small bowel and the appendix sustained serosal burns. Subtotal proctocolectomy and perineal resection were done and the patient made an uneventful recovery. Early laparotomy is warranted, irrespective of endoscopic findings, for appropriate surgical correction.

Lethal poisoning with theophylline in the form of rectally administered tablets

“…W tym samym kraju w latach 1990-2000 opisano aż 21 przypadków wlewek doodbytniczych substancji żrących [11], przy czym w większości dotyczyło to kobiet (16) i przypadków działania samobójczego (14), poza tym prób dokonania w ten sposób aborcji (3) czy zabójstwa (3). Wśród użytych substancji przeważał kwas siarkowy (12) i solny (5). Pojedynczy przypadek opisano w Stanach Zjednoczonych [12].…”

“…Wśród użytych substancji przeważał kwas siarkowy (12) i solny (5). Pojedynczy przypadek opisano w Stanach Zjednoczonych [12].…”

“…The majority of them involved women (16 cases), suicide attempts (14), abortion attempts (3) or homicide attempts (3). The most common substances used for the purposes listed above were sulphuric acid (12) and hydrochloric acid (5). An isolated case of this type has also been reported in the USA [12].…”

“…The most common substances used for the purposes listed above were sulphuric acid (12) and hydrochloric acid (5). An isolated case of this type has also been reported in the USA [12].…”