A Case of Acute Renal Failure After Extraluminal Injection of Glycerin Enema

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  • OGIHARA Sonoko
    Depts. of Nursing, Fujimi-Kogen Medical Center, Fujimi-Kogen Hospital
  • ORII Miyuki
    Depts. of Nursing, Fujimi-Kogen Medical Center, Fujimi-Kogen Hospital
  • ADACHI Wataru
    Depts. of Surgery, Fujimi-Kogen Medical Center, Fujimi-Kogen Hospital

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  • グリセリン浣腸液の腸管外注入により，急性腎不全をきたした嵌頓痔核の1 症例
  • 症例報告 グリセリン浣腸液の腸管外注入により,急性腎不全をきたした嵌頓痔核の1症例
  • ショウレイ ホウコク グリセリンカンチョウエキ ノ チョウカン ガイ チュウニュウ ニ ヨリ,キュウセイ ジンフゼン オ キタシタ カントンジカク ノ 1 ショウレイ

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We report a case of acute renal failure after extraluminal injection of glycerin enema and discuss the side effects of glycerin enema. A woman in her sixties with anal prolapse complained of anal pain after bowel preparation for colonoscopy with administration of 120mL of 50% glycerin enema. She complained of epigastralgia and nausea 2 h after the enema. Brown urine was observed 10 h after the enema, and urine volume was 96mL/day by the next day. Laboratory data revealed evidence of hemolysis and renal dysfunction, and computed tomography showed air and edema around the rectum. Based on these findings, we made a diagnosis of acute renal failure caused by extraluminal injection of glycerin enema. Hemodialysis was performed 6 times over the course of 9 days, and haptoglobin was administered to prevent renal damage from hemolysis. Following this treatment, there was recovery of renal function and this normalized 2 months after the enema.

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