{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:11:41Z","timestamp":1767665501775,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Rectal injuries secondary to fleet enemas are the result of a chemical irritation as well as mechanical trauma causing localized perforation and mucosal necrosis. These injuries can be managed expectantly. Fournier\u2019s Gangrene is a life-threatening, fulminant soft tissue infection of the genito-perineal region commonly secondary to a perianal infection, requiring extensive debridement of all affected tissue and judicious antibiotic therapy. This distinction is critical in the management of the current case, allowing for limited debridement and judicious observation without a resection of the injured rectum. A diverting colostomy allows for effective faecal management and minimizes contamination of the perineal wound.<\/jats:p>","DOI":"10.1093\/jscr\/rjz414","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T12:07:34Z","timestamp":1577794054000},"source":"Crossref","is-referenced-by-count":2,"title":["Iatrogenic rectal injury associated with fleet enema administration masquerading as Fournier\u2019s Gangrene"],"prefix":"10.1093","volume":"2020","author":[{"given":"Yi","family":"Liang","sequence":"first","affiliation":[{"name":"Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelina","family":"Di Re","sequence":"first","affiliation":[{"name":"Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grahame","family":"Ctercteko","sequence":"first","affiliation":[{"name":"Department of General Surgery, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"2020022407493773900_ref1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/1756287215584740","article-title":"Contemporary diagnosis and management of Fournier's gangrene","volume":"7","author":"Chennamsetty","year":"2015","journal-title":"Ther Adv Urol"},{"key":"2020022407493773900_ref2","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1111\/ans.12811","article-title":"Rapid progression of perianal abscess into Fournier's gangrene","volume":"85","author":"Toh","year":"2015","journal-title":"ANZ J 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