title: Abdominal and scrotal wall emphysema in a patient with severe ulcerative colitis.
abstract: Severe ulcerative colitis can be associated with bowel perforation. Bowel perforation rarely leads on to abdominal wall and scrotal wall emphysema. Bowel perforation in such cases can be spontaneous or iatrogenic (colonoscopy-related). We report a rare scenario where a patient presented with abdominal wall and scrotal emphysema after topical corticosteroid enema-induced traumatic rectal perforation. Topical corticosteroids were stopped immediately after identification of rectal perforation. The patient was managed conservatively with intravenous antibiotics. With this report we intend to sensitise clinicians and topical enema manufacturers regarding this rare complication.
authors.affiliation: Consultant in Gastroenterology, Department of Gastroenterology, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Manik
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Specialist in Gastroenterology, Department of Gastroenterology, Hamad Medical Corporation, Doha, Qatar doc.ragesh@gmail.com.
authors.forename: Ragesh Babu
authors.initials: RB
authors.lastname: Thandassery
authors.affiliation: Consultant in Radiology, Department of Radiology, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Shatha Al
authors.initials: SA
authors.lastname: Hilli
authors.affiliation: Consultant and Chief in Gastroenterology, Department of Gastroenterology, Hamad Medical Corportation, Doha, Qatar.
authors.forename: Saad Al
authors.initials: SA
authors.lastname: Kaabi
mesh_terms: D000005:Abdomen; D000285:Administration, Rectal; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D003093:Colitis, Ulcerative / Q000188:drug therapy*; D016503:Drug Delivery Systems / Q000009:adverse effects*; D004733:Enema / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012611:Scrotum; D013352:Subcutaneous Emphysema / Q000209:etiology*
chemical_list: D000305:Adrenal Cortex Hormones
keywords: Scrotal emphysema; enema; ulcerative colitis