Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Development of Two Cases of Acute Colitis after Soap Enemas

비누 관장 후 발생한 급성 대장염 2예

Park, Yong-Jin;Han, Koon-Hee;Kim, Young-Don;Jeong, Woo-Jin;Kang, Gil-Hyun;Cheon, Gab-Jin
박용진;한군희;김영돈;정우진;강길현;천갑진

  • Published : 20081200
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Abstract

Acute diarrhea is caused by many situations such as infections, drugs, autoimmune diseases, immunodeficiency, ischemia and toxins. In addition, enema induced-colitis also causes acute diarrhea. Damage to the colon has been reported after exposure to a number of rectally administered agents, the better known of which are soaps and detergents used as cleansing enemas. Soap enemas cause corrosive colitis due to the saponification reaction as well as toxic materials. We report two cases of acute colitis induced by soap enemas administered in preparation for cesarean sections.

급성 설사와 복통을 증상으로 하는 대장염의 원인은 매우 다양하다. 감염과 약물의 부작용이 가장 흔하며, 이외에 자가면역질환, 면역결핍, 게실염, 허혈성 대장염, 염증성 장 질환의 초기, 독소 등이 있다. 또한, 드믈게 관장으로도 급성 설사를 동반한 대장염이 발생할 수 있다. 관장액에 포함된 많은 물질에 의한 대장 손상이 보고되고 있으며, 장 세척을 위해서 사용되는 비누 관장에 의해 부식성 대장염이 발생할 수 있다. 저자들은 비누 관장으로 장 세척을 시행 받은 환자에서 발생한 급성 대장염 2예를 경험하여, 이를 문헌 고찰과 함께 보고한다.

Keywords

References

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