Year 2024 / Volume 116 / Number 1
Letter
Iatrogenic rectal perforation due to application of topical treatment in a patient with ulcerative colitis: a rare complication

49-51

DOI: 10.17235/reed.2023.9599/2023

Jorge Barajas Pérez, Óscar Moralejo Lozano, Natalia María Arietti López, Laura Monserrat López Torres, Raquel Olvido Lomas Pérez, Concepción Muñoz Rosas, Rafael Ángel Gómez Rodríguez,

Abstract
Rectal perforations due to topical treatments (enemas or foams) are unusual complications and they have been mostly reported in the use of barium enemas or in elderly patients with constipation. Very little has been reported about perforations secondary to topical treatment in patients with ulcerative colitis. We present the case of a patient with ulcerative colitis who suffered a rectal perforation complicated with a superinfected collection after the application of topical mesalazine foam.
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References
1. Raine T, Bonovas S, Burisch J, et al. ECCO Guidelines on Therapeutics in Ulcerative Colitis: Medical Treatment. J Crohns Colitis. 2022;16(1):2-17.
2. de Feiter PW, Soeters PB, Dejong CH. Rectal perforations after barium enema: a review. Dis Colon Rectum. 2006;49(2):261-271.
3. Cirocchi R, Randolph J, Panata L, et al. The tip of the iceberg of colorectal perforation from enema: a systematic review and meta-analysis. Tech Coloproctol. 2020;24(11):1109-1119.
4. Kume K, Watanabe T, Oshima J, et al. Rectal perforation caused by mesalazine enema in a patient with ulcerative colitis. Endoscopy. 2014;46 Suppl 1 UCTN:E190.
5. Tanswell IJ, Irfan K, Kossakowski T, et al. Rectal perforation in ulcerative colitis: complication of an enema tip. Gastrointest Endosc. 2009;69(2):344.
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Citation tools
Barajas Pérez J, Moralejo Lozano Ó, Arietti López N, López Torres L, Lomas Pérez R, Muñoz Rosas C, et all. Iatrogenic rectal perforation due to application of topical treatment in a patient with ulcerative colitis: a rare complication. 9599/2023


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Publication history

Received: 15/03/2023

Accepted: 26/03/2023

Online First: 19/04/2023

Published: 11/01/2024

Article Online First time: 35 days

Article editing time: 302 days


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