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To the Editor:—
The danger of perforation of the colon proximal to a colostomy by self-administered irrigation through the colostomy stoma is well illustrated by the case reported by Drs. Earle I. Greene and J. Major Greene in The Journal (148:49 [Jan. 5] 1952). That this accident is a rare occurrence is borne out by the fact that the authors were able to find only one other report of a similar complication in the medical literature of the preceding 18 years. For this reason, and to illustrate still another and related means of perforating the bowel proximal to a colostomy stoma, I should like to record the occurrence of such an accident after barium enema study.The patient was a white man, 50 years old, who had undergone abdominoperineal resection for rectal cancer on Aug. 24, 1945. Opaque material was introduced through the colostomy stoma on Sept. 10, 1946,
Berk JE. PERFORATION FOLLOWING BARIUM ENEMA. JAMA. 1952;148(9):766. doi:10.1001/jama.1952.02930090076026