Rectum perforation secondary to the enema with garden hose: A case report

Abstract

A 73-year-old male patient was admitted to the emergency department with severe abdominal pain. It was thought that the patient might have colon perforation with the patient’s history, physical and radiological examination. In the patient’s history; since his youth, it was understood that when he has been constipated, he has made an enema with tap water by attaching the garden hose into the rectum and connects the other end to the fountain. In this case report, we wanted to present the colon perforation during the hose penetration, and peritonitis of the patient who had foreign body penetration chronically into the rectum with the purpose of making enema periodically, and the operation performed after. Since our patient was a delayed case, we quickly initiated resuscitation, prophylactic antibiotherapy, and underwent protective colostomy in our operation. We think that colostomy reduces the mortality and morbidity in delayed cases.