Self-administered alcohol enema causing chemical proctocolitis

Tadahiko Seki,1 Hidetada Fukushima21Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara, Japan; 2Department of Emergency and Critical Care Medicine, Nara Medical University, Nara, JapanBackground: There are few reports of chemical proctocolitis induced by transanal administration of alcohol.Case report: The patient was a 21-year-old male with no medical history. He transanally pumped 1.8 L of 35% alcohol, experienced melena and disturbance of consciousness, and was transported by ambulance to our hospital. Abdominal computed tomography and endoscopy findings indicated ischemic colitis. He was administered conservative treatment and discharged after 9 days of hospital stay.Conclusion: Reports on alcohol-induced chemical proctocolitis are rare. None of the reported cases involved perforation or required surgery, and all were resolved with conservative therapy, as observed in the study patient.Keywords: rectal administration, colonoscopy, ischemic colitis, conservative therapy