{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T12:00:18Z","timestamp":1786795218510,"version":"build-2736575974"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T00:00:00Z","timestamp":1130803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:p>We present a rare case of colon perforation caused by hydrostatic irrigation enema in a patient with chronic renal failure. A 76-year-old woman was admitted to our hospital because of an exacerbation of lumbar pain and increased difficulty in walking. She had a medical history of traumatic neck pain and chronic lower back pain, which had been treated with non-steroidal anti-inflammatory drugs (NSAIDs) for 8 years. On admission, the C-reactive protein level was 6.8 mg\/dl, so we planned to do a colonoscopy to determine the cause of inflammation. The patient developed abdominal pain approximately 3.5 h after a pre-procedural enema was administered. An emergency operation was performed and a small perforation was found in the sigmoid colon. We conclude that the cause of the colon perforation was a combination of the use of a hydrostatic retrograde irrigation enema in a patient with chronic renal failure who had been treated with long-term NSAIDs.<\/jats:p>","DOI":"10.1177\/147323000503300614","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:43Z","timestamp":1361974963000},"page":"707-710","source":"Crossref","is-referenced-by-count":6,"title":["Retrograde Hydrostatic Irrigation Enema-induced Perforation of the Sigmoid Colon in a Chronic Renal Failure Patient before Colonoscopy"],"prefix":"10.1177","volume":"33","author":[{"given":"H","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Nephrology, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Iyoda","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Kitazawa","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"bibr1-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00236-X"},{"key":"bibr2-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780218"},{"key":"bibr3-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.295.6608.1238"},{"key":"bibr4-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(03)00308-8"},{"key":"bibr5-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236216"},{"key":"bibr6-147323000503300614","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.160.5.8470606"},{"key":"bibr7-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770308"},{"key":"bibr8-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90909-7"},{"key":"bibr9-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1136\/gut.32.1.66"},{"key":"bibr10-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049158"},{"key":"bibr11-147323000503300614","first-page":"329","volume":"28","author":"Castleton KB","year":"1962","journal-title":"Am Surg"},{"key":"bibr12-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1973.03650110092020"},{"key":"bibr13-147323000503300614","doi-asserted-by":"publisher","DOI":"10.1007\/BF01073089"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000503300614","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000503300614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:40:32Z","timestamp":1777459232000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/147323000503300614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,11]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2005,11]]}},"alternative-id":["10.1177\/147323000503300614"],"URL":"https:\/\/doi.org\/10.1177\/147323000503300614","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,11]]}}}