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J. Edward Berk, M.D.
JAMA. 1952;148(9):766. doi:10.1001/jama.1952.02930090076026.
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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,


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