Top

Published in:

01-09-2008 | Case Report

Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case

Authors: Blaithin P. Page, M.R.C.S., Stephen A. Boyce, Ph.D., M.R.C.S., Christopher Deans, M.R.C.S., John Camilleri-Brennan, M.D., F.R.C.S.(Glasg.)(Gen. Surg.)

Published in: Diseases of the Colon & Rectum | Issue 9/2008

Abstract

We report the case of 65-year-old man who developed massive rectal bleeding associated with the use of a fecal collecting device: the Flexi-Seal® Fecal Management System. A colonoscopy showed an acute laceration of the anterior rectal wall mucosa, 6 cm from the anal verge, with active bleeding. The tear was most likely the result of an acute event, such as sudden movement of the device within the rectum or trauma sustained during insertion. Massive transfusion was required, and surgical endoscopic treatment was necessary to ensure hemostasis. This is, to our knowledge, the first such case to be reported.

Mercadante S. Diarrhoea in terminally ill patients: pathophysiology and treatment. J Pain Symptom Manage 1995;10:298–309.PubMedCrossRef

Wiesen P, Van Gossum A, Preiser JC. Diarrhoea in the critically ill. Curr Opin Crit Care 2006;12:149–54.PubMedCrossRef

Kelly TW, Patrick MR, Hillman KM. Study of diarrhoea in critically ill patients. Crit Care Med 1983;11:7–9.PubMedCrossRef

Beitz JM. Faecal incontinence in acutely and critically ill patients: options in management. Ostomy Wound Manage 2006;52:56–8, 60, 62–6.PubMed

Gray M, Ratliff C, Donovan A. Protecting perineal skin integrity. Incontinent patients present unique challenges to successful skin care management. Nurs Manage 2002;33:61–3.PubMed

Gray M, Ratliff C, Donovan A. Perineal skin care for the incontinent patient. Adv Skin Wound Care 2002;15:170–5.PubMedCrossRef

Evans D. Faecal incontinence products and quality of life. Nurs Times 2006;102:44–5, 47.PubMed

Newman DK, Fader M, Bliss DZ. Managing incontinence using technology, devices, and products: directions for research. Nurs Res 2004;53:S42–8.PubMedCrossRef

Tarnowska A, Potocka K, Marcinski A, Zielinski T, Kornacka MK. Iatrogenic complications due to the nasogastric and rectal cannula in neonates. Med Sci Monit 2004;10(Suppl 3):46–50.PubMed

10.

Chapman AH, Blakeborough A. Complications from inflation of a retention rectal balloon catheter in the vagina at barium enema. Clin Radiol 1998;53:768–70.PubMedCrossRef

11.

ConvaTec. FlexiSeal FMS: highlights of clinical study data. June 2004. Available at: www.convatec.com. Accessed August 1, 2007.

12.

Akervall S, Fasth S, Nordgren S, Oresland T, Hultén L. Rectal reservoir and sensory function studied by graded isobaric distension in normal man. Gut 1989;30:496–502.PubMedCrossRef

Title: Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case
Authors: Blaithin P. Page, M.R.C.S.
Stephen A. Boyce, Ph.D., M.R.C.S.
Christopher Deans, M.R.C.S.
John Camilleri-Brennan, M.D., F.R.C.S.(Glasg.)(Gen. Surg.)
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 9/2008
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-008-9227-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 9/2008

Colectomy and Ileorectal Anastomosis is still an Option for Selected Patients with Familial Adenomatous Polyposis

Preoperative and Postoperative Quality of Life in Patients with Familial Adenomatous Polyposis

Colorectal Anastomotic Stenosis After Elective Laparoscopic Sigmoidectomy for Diverticular Disease: A Prospective Evaluation of 68 Patients

Use of Rapid Sampling Microdialysis for Intraoperative Monitoring of Bowel Ischemia

Why Does Splenectomy Adversely Affect the Outcomes of Colorectal Cancer Surgery?

Laparoscopic-Assisted Rectosigmoidectomy with Ileal Loop Interposition. Surgical Treatment of Chagasic Megacolon