{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T01:27:10Z","timestamp":1786757230241,"version":"build-2736575974"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Unsupervised self-administered cleansing enemas pose a rare but catastrophic risk of colorectal perforation. We report a 71-year-old man presenting with acute peritonitis immediately after a self-enema for chronic constipation. Notably, he connected the enema hose directly to a household water tap, inadvertently introducing a large volume of water under high mains pressure. Radiography revealed pneumoperitoneum. Emergency laparotomy identified a 5-cm longitudinal blowout perforation on the mesenteric border of the sigmoid colon with fecal contamination. A Hartmann-type procedure (partial sigmoid resection with an end colostomy) was performed. Histopathology confirmed a structurally normal colonic wall devoid of underlying pathologies. The findings were consistent with massive hydrostatic pressure injury, likely exacerbated by distal fecal loading. The patient recovered uneventfully, with no complications at the 30-day follow-up. This case highlights the extreme danger of connecting enema devices directly to domestic water supplies and emphasizes prompt surgery for atypical barogenic perforations.<\/jats:p>","DOI":"10.1093\/jscr\/rjag720","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:13:34Z","timestamp":1785237214000},"source":"Crossref","is-referenced-by-count":0,"title":["Sigmoid colon perforation following a self-administered cleansing enema: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2011-6763","authenticated-orcid":false,"given":"Feruzjon G","family":"Bobosharipov","sequence":"first","affiliation":[{"name":"Department of Surgical Diseases in Family Medicine, Tashkent State Medical University , Tashkent ,","place":["Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8653-6708","authenticated-orcid":false,"given":"Yulduz I","family":"Nadirova","sequence":"additional","affiliation":[{"name":"Department of Faculty and Hospital Therapy \u21162, Nephrology and Hemodialysis, Tashkent State Medical University , Tashkent ,","place":["Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1185-7587","authenticated-orcid":false,"given":"Nizomiddin Y","family":"Baratov","sequence":"additional","affiliation":[{"name":"Department of Surgical Diseases in Family Medicine, Tashkent State Medical University , Tashkent ,","place":["Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zamira I","family":"Umarova","sequence":"additional","affiliation":[{"name":"Department of Faculty and Hospital Therapy \u21162, Nephrology and Hemodialysis, Tashkent State Medical University , Tashkent ,","place":["Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulsum P","family":"Raximova","sequence":"additional","affiliation":[{"name":"Department of Faculty and Hospital Therapy \u21162, Nephrology and Hemodialysis, Tashkent State Medical University , Tashkent ,","place":["Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"2026081420461280600_ref1","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/s12876-015-0366-3","article-title":"Chronic constipation in the elderly: a primer for the gastroenterologist","volume":"15","author":"De Giorgio","year":"2015","journal-title":"BMC Gastroenterol"},{"key":"2026081420461280600_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jscr\/rjad105","article-title":"Severe constipation causing ischaemic stercoral perforation of sigmoid colon","volume":"2023","author":"Zhang","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2026081420461280600_ref3","doi-asserted-by":"publisher","first-page":"323","DOI":"10.2147\/IJGM.S44417","article-title":"Perforation and mortality after cleansing enema for acute constipation are not rare but are preventable","volume":"6","author":"Niv","year":"2013","journal-title":"Int J Gen Med"},{"key":"2026081420461280600_ref4","first-page":"297","article-title":"Colorectal perforation due to self administered retrograde enema","volume":"9","author":"Topcu","year":"2003","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2026081420461280600_ref5","doi-asserted-by":"publisher","first-page":"783","DOI":"10.5455\/2320-1770.ijrcog20140922","article-title":"A case of perforation of rectum due to self-administered enema in a pregnant woman","volume":"3","author":"Rani","year":"2014","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026081420461280600_ref6","doi-asserted-by":"publisher","first-page":"1109","DOI":"10.1007\/s10151-020-02294-7","article-title":"The tip of the iceberg of colorectal perforation from enema: a systematic review and meta-analysis","volume":"24","author":"Cirocchi","year":"2020","journal-title":"Tech Coloproctol"},{"key":"2026081420461280600_ref7","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1177\/147323000503300614","article-title":"Retrograde hydrostatic irrigation enema-induced perforation of the sigmoid colon in a chronic renal failure patient before colonoscopy","volume":"33","author":"Nakamura","year":"2005","journal-title":"J Int Med Res"},{"key":"2026081420461280600_ref8","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s12876-016-0533-1","article-title":"Collagenous colitis presenting as spontaneous perforation in an 80 year old woman: report of a case","volume":"16","author":"Mitchell","year":"2016","journal-title":"BMC Gastroenterol"},{"key":"2026081420461280600_ref9","doi-asserted-by":"publisher","first-page":"rjaf1026","DOI":"10.1093\/jscr\/rjaf1026","article-title":"Spontaneous colonic perforation in a pediatric patient with acute febrile illness: a case report","volume":"2026","author":"Yadav","year":"2026","journal-title":"J Surg Case Rep"},{"key":"2026081420461280600_ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jscr\/rjy297","article-title":"Colonic perforation due to amebiasis, a rare and lethal complication","volume":"2018","author":"Guzman","year":"2018","journal-title":"J Surg Case Rep"},{"key":"2026081420461280600_ref11","doi-asserted-by":"publisher","first-page":"rjaf567","DOI":"10.1093\/jscr\/rjaf567","article-title":"Transverse colon perforation secondary to necrotizing pancreatitis: a rare and life-threatening complication","volume":"2025","author":"Derkaoui","year":"2025","journal-title":"J Surg Case Rep"},{"key":"2026081420461280600_ref12","doi-asserted-by":"publisher","first-page":"158","DOI":"10.4166\/kjg.2016.67.3.158","article-title":"Self-administered enema related rectal perforation","volume":"67","author":"Lee","year":"2016","journal-title":"Korean J Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag720\/70653782\/rjag720.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag720\/70653782\/rjag720.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:46:20Z","timestamp":1786754780000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag720\/8761905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag720","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag720"}}