Complete circumferential rectal ulceration and haemorrhage secondary to the use of a faecal management system
- 29 August 2013
- journal article
- Published by SAGE Publications in Therapeutic Advances in Gastroenterology
- Vol. 7 (1), 51-55
- https://doi.org/10.1177/1756283x13501947
Abstract
This structured case report is a brief case report describing an episode of complete circumferential rectal ulceration and haemorrhage secondary to the use of a faecal management system. An elderly lady was admitted for elective cardiac surgery. Prior to admission, the patient was taking warfarin in view of her atrial fibrillation. Following surgery, the patient developed faecal incontinence, which was managed with a faecal management system. However, the patient subsequently developed massive rectal haemorrhage from an area of complete circumferential ulceration in the rectum. This ulceration resulted from pressure necrosis secondary to the faecal management system balloon placed in the patient’s rectum. The implication for care is that faecal management systems are an important adjunct in the management of faecal incontinence, but caution must be exercised with prolonged use, particularly in anticoagulated patients.Keywords
This publication has 7 references indexed in Scilit:
- Stercoral perforation of the rectumEmergency Medicine Australasia, 2011
- Long-Term Outcome and Safety of Transanal Irrigation for Constipation and Fecal IncontinenceDiseases of the Colon & Rectum, 2009
- Long-term outcome and safety of transanal colonic irrigation for neurogenic bowel dysfunctionSpinal Cord, 2008
- Emerging Options for the Management of Fecal Incontinence in Hospitalized PatientsJournal of Wound, Ostomy & Continence Nursing, 2008
- Clinical Evaluation of a Flexible Fecal Incontinence Management SystemAmerican Journal of Critical Care, 2007
- Perineal Skin Care for the Incontinent PatientAdvances in Skin & Wound Care, 2002
- Fecal Incontinence in Hospitalized Patients Who Are Acutely IllNursing Research, 2000