[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.167.149.128. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 26, 1918

FATAL RESULT FOLLOWING INJECTION TREATMENT OF HEMORRHOIDS

Author Affiliations

House Physician, New York Hospital NEW YORK

JAMA. 1918;70(4):222. doi:10.1001/jama.1918.02600040020006

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

The grave complications frequently arising from seemingly simple methods employed in the treatment of dispensary patients leads to the presentation of one such treatment and its undesirable result.

The rectal mucosa cannot be effectively freed from pathogenic organisms, which may be carried deeper by a hypodermic needle. The liquid injected reduces tissue resistance, and furnishes a good medium for the growth of organisms. If an anesthetic agent is injected, pain and the defensive reflexes it arouses are abolished. Hence, the mechanical spread of the infection is unretarded. The patient's walking, jolting in cars and sitting in chairs all aid in spreading the infection. Dispensary patients, therefore, are subjected to a double risk.

REPORT OF CASE 

History.  —For ten years, a chauffeur, aged 38, had had external and internal hemorrhoids, which had bled six years. He was constipated. January 31, in a dispensary, three large internal hemorrhoids were injected with quinin

First Page Preview View Large
First page PDF preview
First page PDF preview
×