Stoned people do the darndest things.

Am J Gastroenterol. 1993 Jan;88(1):122-6.

Fulminant acute colitis following a self-administered hydrofluoric acid enema.

Cappell MS, Simon T.

Department of Medicine, UMDNJ-Robert Wood Johnson (Rutgers) Medical School, New Brunswick.

 Abstract
A 33-yr-old white male presented with bloody diarrhea, leukocytosis, and left lower quadrant direct and rebound tenderness after a self-administered concentrated hydrofluoric acid enema while intoxicated from intranasal cocaine administration. Intraoperative flexible sigmoidoscopy and a gastrografin enema revealed severe mucosal ulceration and edema in the rectum and sigmoid colon. Laparotomy revealed an ulcerated, necrotic, and purulent sigmoid colon and intraperitoneal pus. The patient underwent a limited sigmoid resection and a Hartman procedure. Five months later, the patient presented with a rectal stricture which was resected. This case demonstrates that a hydrofluoric acid enema can cause fulminant acute colitis and chronic colonic strictures.

 

see

http://www.ncbi.nlm.nih.gov/pubmed/8420252