Hydrocarbon Enema

Abstract

Hydrocarbons are a wide-ranging group of flammable chemicals and are often used in suicide attempts either by ingestion or as an accelerant in self-immolation. In this case study, we present a 37-year-old female who suffered 6% TBSA partial-thickness burns to her perineum and buttocks, which she claims resulted from diarrhea after ingesting a bottle of lighter fluid. The patient underwent decontamination and medical treatment for her burns and during her inpatient stay, it became apparent that the burns were more likely sustained from an intentional rectal administration of lighter fluid. To our knowledge, this is one of the first reported cases of hydrocarbon enema. We review hydrocarbon poisoning, including both ingestion and dermal exposure, and discuss medical management.

The conservative management of self-inflicted chemical burns: Case report and literature review

“…This patient was previously treated with a STSG, which failed and was subsequently managed conservatively with dressings. 5 Fino et al reported a case of self-inflicted 0.5% TBSA full-thickness chemical burn from acoustic substance. This was managed conservatively, and healing was achieved six weeks after injury.…”

“…3 Another case with hydrocarbon enema to the perineum and buttocks was described by Mygatt et al and had 6% TBSA partial-thickness burns treated conservatively. 4 Idicula et al described a case of factious disorder with a history of frequent self-inflicted burns while at work from an unknown chemical agent. This patient was previously treated with a STSG, which failed and was subsequently managed conservatively with dressings.…”