Barium Granuloma of the Rectum

Gordon, Benjamin S.; Clyman, Daniel

doi:10.1016/s0016-5085(57)80044-4

Cited by 31 publications

(6 citation statements)

References 4 publications

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“…The uncommon and relatively benign 45,46 phenomenon of an incomplete perforation was first described in 1954 47 and is usually caused by mucosal trauma by the catheter tip or balloon 48 but also has been described in association with obstructing cancers. 49,50 Diagnosis by the radiologist is difficult. Two pathognomonic signs have been described: 1) thin, longitudinal layer of barium on both sides of the bowel wall, representing the dissection between mucosa and muscularis 50 ( Fig.…”

Section: Radiologic Signsmentioning

confidence: 99%

“…2B). 46,49,53 Secondary extension into the mesocolon has been reported. 54,55 Retroperitoneal perforations are extremely rare.…”

Section: Radiologic Signsmentioning

confidence: 99%

“…However, pain can be minimal or absent as a result of poor sensitivity of the rectum. 43,73 In particular, incomplete perforations showing minimal clinical signs, 45,49,51 are frequently painless, or cause pain after a delay of several hours. 73 Rectal bleeding 74 and subcutaneous or intraperitoneal emphysema also should raise a high degree of suspicion of perforation.…”

Section: Clinical Signsmentioning

confidence: 99%

See 2 more Smart Citations

Rectal Perforations After Barium Enema: A Review

Feiter

Soeters²,

Dejong³

2006

Diseases of the Colon &Amp; Rectum

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Rectal perforations after barium enema are rare. The overall mortality rate decreased in recent decades from approximately 50 to 35 percent as the result of advances in supportive and intensive care. Because of these advances, more aggressive surgical strategies were undertaken. With the advent of endoscopy, less barium enemas are performed. Consequently, the absolute incidence of complications has decreased. It is expected that in the future barium enemas will be replaced by more sensitive and less risky techniques, such as CT colonography and magnetic resonance colonography.

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Section: Radiologic Signsmentioning

confidence: 99%

“…2B). 46,49,53 Secondary extension into the mesocolon has been reported. 54,55 Retroperitoneal perforations are extremely rare.…”

Section: Radiologic Signsmentioning

confidence: 99%

Section: Clinical Signsmentioning

confidence: 99%

See 1 more Smart Citation

Rectal Perforations After Barium Enema: A Review

Feiter

Soeters²,

Dejong³

2006

Diseases of the Colon &Amp; Rectum

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“…Barytoma of the rectum is one of the rare complications of barium enema (GORDON & CHYMAN 1957, DECARLO 1960. LEWIS et coll.…”

Section: Discussionmentioning

confidence: 99%

Barytoma of the Rectum

Hariri¹,

Bichel²,

Dyreborg³

1983

Acta Radiologica. Diagnosis

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“…Patients with barium peritonitis generally need intensive care, including the management of sepsis, adequate intravenous feeding, surgical debridement for barium in the intraperitoneal cavity, and postoperative management for infection. Residual barium in the intraperitoneal or retroperitoneal cavity can be a persistent inflammatory source postoperatively for patients, leading to granuloma formation and intestinal adhesion [2], [3].…”

Section: Introductionmentioning

confidence: 99%