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Case Reports in Emergency Medicine
Volume 2014, Article ID 191237, 3 pages
Case Report

Self-Administered Ethanol Enema Causing Accidental Death

1College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA
2GRMEP/Michigan State University Program in Emergency Medicine, Grand Rapids, MI 40503, USA
3Department of Pathology, Spectrum Health Hospitals, Grand Rapids, MI 49506, USA

Received 11 August 2014; Revised 18 October 2014; Accepted 21 October 2014; Published 11 November 2014

Academic Editor: Henry David

Copyright © 2014 Thomas Peterson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Excessive ethanol consumption is a leading preventable cause of death in the United States. Much of the harm from ethanol comes from those who engage in excessive or hazardous drinking. Rectal absorption of ethanol bypasses the first pass metabolic effect, allowing for a higher concentration of blood ethanol to occur for a given volume of solution and, consequently, greater potential for central nervous system depression. However, accidental death is extremely rare with rectal administration. This case report describes an individual with klismaphilia whose death resulted from acute ethanol intoxication by rectal absorption of a wine enema.