title: Autonomic dysreflexia as a complication of a fecal management system in a man with tetraplegia.
abstract: OBJECTIVE
  To present a case of autonomic dysreflexia caused by the use of a fecal management system in a patient with tetraplegia.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Military rehabilitation center.
  
  
  RESULTS
  A man with tetraplegia had a fecal management system inserted to divert stool away from his sacral pressure ulcer to reduce contamination and infection risk. Two days later, he developed severe autonomic dysreflexia that improved after removal of the system.
  
  
  CONCLUSIONS
  Autonomic dysreflexia, a life-threatening complication, has not been reported before as a side effect of a fecal management system. These systems should be used with caution in patients with high-level spinal cord injury.
authors.affiliation: Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, TSK Rehabilitasyon Merkesi, Bilkent, Ankara, Turkey. safazi@yahoo.com
authors.forename: Ismail
authors.initials: I
authors.lastname: Safaz
authors.forename: Serdar
authors.initials: S
authors.lastname: Kesikburun
authors.forename: Ozlem Koroglu
authors.initials: OK
authors.lastname: Omac
authors.forename: Ilknur
authors.initials: I
authors.lastname: Tugcu
authors.forename: Ridvan
authors.initials: R
authors.lastname: Alaca
mesh_terms: D000328:Adult; D020211:Autonomic Dysreflexia / Q000209:etiology*; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000150:complications* / Q000534:rehabilitation*