BOWEL PERFORATION FOLLOWING ENEMA THROUGH A PERMANENT COLOSTOMY

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Abstract
RUPTURE of the intestine has interested military and civilian surgeons since antiquity and has been described as due to a wide variety of causes ranging from penetrating abdominal wounds to comparatively nonviolent muscular effort.1 Review of the literature would indicate a paucity of reports on bowel rupture following colon irrigations. In 1952 Greene and Greene2 reported an instance of bowel perforation during the course of a colostomy irrigation, stating that they were able to find only one prior reference3 to this condition in the literature. Shortly thereafter, Berk4 described another instance, and more recently Bettman, Richter, and Drugas5 have added another case report. We believe, however, that there must exist numerous unreported episodes of this kind, since Gabriel6 was able to collect eight such accidents in the experience at the Saint Mark's Hospital of London in the period between 1937 and 1944, and we

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