PMID- 33880283
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210422
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 3
DP  - 2021 Mar 17
TI  - Massive Hematochezia Secondary to Rectal Enema Injury: The Role of 
      Sengstaken-Blakemore Tube for Hemostasis When Endoscopy Fails.
PG  - e13946
LID - 10.7759/cureus.13946 [doi]
LID - e13946
AB  - In rare instances, rectal cleansing enemas may cause rectal injury, precipitating 
      lower gastrointestinal hemorrhage (LGIH). In a subset of LGIH cases, the bleeding 
      diathesis may fail to respond to traditional treatment modalities and can be 
      life-threatening. We present a case of an 84-year-old female with cleansing enema 
      induced rectal bleeding - she was a poor surgical candidate and due to lack of 
      access to in-house interventional radiology teams, hemostasis was attempted with 
      sui generis use of the Sengstaken-Blakemore tube. Our transanal application of 
      the Sengstaken-Blakemore tube for the management of LGIH contributes further 
      evidence supporting the use of balloon tamponade in achieving hemostasis in 
      select patients when traditional therapeutic modalities are unavailable.
CI  - Copyright (c) 2021, Klimko et al.
FAU - Klimko, Artsiom
AU  - Klimko A
AD  - Division of Physiology and Neuroscience, University of Medicine and Pharmacy 
      "Carol Davila", Bucharest, ROU.
FAU - Tieranu, Cristian G
AU  - Tieranu CG
AD  - Department of Gastroenterology, "Elias" Emergency University Hospital, Bucharest, 
      ROU.
AD  - Department of Gastroenterology, University of Medicine and Pharmacy "Carol 
      Davila", Bucharest, ROU.
FAU - Preda, Carmen M
AU  - Preda CM
AD  - Department of Gastroenterology, Fundeni Clinical Institute, Bucharest, ROU.
AD  - Department of Gastroenterology, University of Medicine and Pharmacy "Carol 
      Davila", Bucharest, ROU.
FAU - Olteanu, Andrei O
AU  - Olteanu AO
AD  - Department of Gastroenterology, "Elias" Emergency University Hospital, Bucharest, 
      ROU.
FAU - Ionescu, Elena M
AU  - Ionescu EM
AD  - Department of Gastroenterology, "Elias" Emergency University Hospital, Bucharest, 
      ROU.
AD  - Department of Gastroenterology, University of Medicine and Pharmacy "Carol 
      Davila", Bucharest, ROU.
LA  - eng
PT  - Case Reports
DEP - 20210317
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8051529
OTO - NOTNLM
OT  - balloon tamponade
OT  - enema
OT  - lower gastrointestinal hemorrhage
OT  - rectal
OT  - sengstaken-blakemore
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/04/22 06:00
MHDA- 2021/04/22 06:01
PMCR- 2021/03/17
CRDT- 2021/04/21 06:44
PHST- 2021/04/21 06:44 [entrez]
PHST- 2021/04/22 06:00 [pubmed]
PHST- 2021/04/22 06:01 [medline]
PHST- 2021/03/17 00:00 [pmc-release]
AID - 10.7759/cureus.13946 [doi]
PST - epublish
SO  - Cureus. 2021 Mar 17;13(3):e13946. doi: 10.7759/cureus.13946.