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Colonic complications after toxic tribal enemas.
Dunn, JP | Krige, JEJ | Wood, R | Bornman, PC | Terblanche, J
British Journal of Surgery [BR. J. SURG.]. Vol. 78, no. 5, pp.
545-548. 1991.
Tribal enemas obtained from traditional healers are used widely in
southern Africa for a variety of indications. Inclusion of
injurious substances such as potassium dichromate may cause
serious colonic and renal complications. Nine such patients, in
seven of whom chromate use was confirmed, presented after a mean
delay of 7 multiplied by 3 days. All patients had bloody diarrhoea
and vomiting and three underwent major colonic resection,
requiring a total of ten procedures. One patient suffered
mechanical perforation of the rectum, with subsequent necrotizing
fasciitis, necessitating rectal excision. Eight patients had acute
renal failure and seven required dialysis. One patient died. At
follow-up one patient has chronic renal failure and only three are
completely well. Although local medical practitioners are aware of
the problem, the challenge of preventing harmful cultural
practices remains.
 Descriptors: Article Subject Terms colon | man
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