Barium granuloma of the rectum

Rand, A

doi:10.1007/bf02617492

Cited by 18 publications

(1 citation statement)

References 9 publications

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“…The fact that most barium granulomas occur within 8 cm of the anal verge strongly suggests that insertion of the enema tip probably lacerates the rectal wall to some degree, enabling the barium to enter deeper tissue (5). An inflammatory reaction ensues, a collection of cells (fibroblasts, multinucleated cells, macrophages, and lymphocytes) characteristic of a granulomatous reaction forming around the barium sulfate crystals (6). The initial ulcerations usually heal within eight weeks (7), but in the case reported by Lewis et al (8), a 1 cm-sized ulcerated lesion 6 cm from the anal verge was detected two years after a barium enema.…”

Section: Discussionmentioning

confidence: 98%

Barium Granuloma of the Rectum: Case Report

Kim

Jeoung

et al. 2003

J Korean Radiol Soc

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When barium extravasates into tissue during radiologic procedures such as barium enema, it is uptaken by macrophages and forms a granuloma. The result of this is a tumorous mass, fibrosis, and stricture (1), and a cancerous condition is sometimes wrongly suspected. In almost all cases of barium granuloma there is a history of barium enema, a fact which is helpful in making the correct diagnosis. We report a case of barium granuloma in which there was no history of barium enema or apparent rectal trauma.

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Section: Discussionmentioning

confidence: 98%