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Proper Management for Morbid Iatrogenic Retroperitoneal Barium Insufflation

대한대장항문학회지 2014년 30권 6호 p.285 ~ 289
 ( Vahedian-Ardakani Jalal ) - Iran Birjand University Department of Surgery

 ( Nazerani Shahram ) - Iran Birjand University Department of Surgery
 ( Saraee Amir ) - Iran Birjand University Department of Surgery
 ( Sarmast Ali ) - Iran Birjand University Department of Surgery
 ( Saraee Ehsan ) - Iran Birjand University Department of Surgery
 ( Keramati Mohammad Reza ) - Iran Birjand University Department of Surgery

Abstract


A barium enema is a diagnostic and therapeutic procedure commonly used for colon and rectum problems. Rectal perforation with extensive intra- and/or extraperitoneal spillage of barium is a devastating complication of a barium enema that leads to a significant increase in patient mortality. Due to the low number of reported cases in recent scientific literature and the lack of experience with the management of these cases, we would like to present our treatment approach to a rare case of retroperitoneal contamination with barium, followed by its intraperitoneal involvement during a diagnostic barium enema. Our experience with long-term management of the patient and the good outcome will be depicted in this paper.

키워드

Enema; Barium sulfate; Iatrogenic colonic perforation
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