Medical Must-See: Bottoms up! Vodka enema has sobering sequelae

It was definitely not standard practice

In a misguided attempt at faster inebriation, a woman decided to partake of an alcoholic beverage PR.

CT scan

The 23-year-old circumvented the oral route — and first-pass effect, whereby the concentration of alcohol is greatly reduced before it reaches systemic circulation — by having her partner funnel 90mL of vodka into her anus.

She then experienced a bout of alcohol-induced amnesia before developing severe lower abdominal pain, bright red bleeding PR and four episodes of vomiting.

When the woman presented to ED seven

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