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All textbooks dealing with the large bowel make mention of the possibility and cite reports of injury by instruments, bougies and other foreign bodies. However, excepting injury by compressed air, the current literature is singularly lacking in such reports. A hasty perusal of the literature for the past ten years failed to present a case similar to ours, which we feel warrants the following presentation:
S. W., a white man, aged 45, admitted to Mount Sinai Hospital, April 26, 1933, at 1: 30 a. m., had been receiving treatment from a naturopath during the past seven or eight weeks for a nasal condition. This treatment consisted of an enema or colonic irrigation. At 8 p. m. of the preceding day (five and one-half hours before admission) while receiving such a treatment he suddenly experienced severe abdominal pain and exhibited the syndrome called shock. The naturopath took him to a physician,
Behrend M, Herrman CS. TRAUMATIC PERFORATION OF THE SIGMOID COLON. JAMA. 1933;101(16):1226-1227. doi:10.1001/jama.1933.27430410003007a