Barium peritonitis

Westfall, R. H.; Nelson, Robert H.; Musselman, Merle M.

doi:10.1016/0002-9610(66)90119-x

Cited by 27 publications

(21 citation statements)

References 2 publications

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“…Even if this is performed promptly, some barium, enclosed in fibrin, cannot be removed. 1,27,83 After survival of the critically ill period, recurrent episodes of (sub)ileus occur frequently 6,83,84 and may be related to adhesions caused by residual barium in the peritoneal cavity (Fig. 6).…”

Section: Treatmentmentioning

confidence: 99%

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: Treatmentmentioning

confidence: 99%

Rectal Perforations After Barium Enema: A Review

Feiter

Soeters²,

Dejong³

2006

Diseases of the Colon &Amp; Rectum

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“…They and others believed that the barium sulfate caused the intense inflammatory septic course of peritonitis that contributed to the high mortality. 3,6, 14 Westfall et al 15 demonstrated that the efficient removal of barium reduced subsequent adhesion formation. The general operative principle involves aggressive efforts to evacuate as much of the barium as possible, using irrigation with or without urokinase 7 and gently debriding the peritoneal surfaces.…”

Section: Discussionmentioning

confidence: 98%

Colorectal perforation with barium enema in the elderly: Case analysis with the POSSUM scoring system

Wang

1998

Journal of Gastroenterology

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Colorectal perforation is a serious complication of barium-enema examination, as the resultant contamination of the intraperitoneal or extraperitoneal space may result in a severe septic course. Between 1 October 1993 and 30 September 1996, four patients had colorectal injuries after barium-enema examinations at the Far Eastern Memorial Hospital, Taipei, Taiwan. Their mean age was 80 years and three of them died, despite the implementation of early and aggressive treatment. To examine the differences between this high crude mortality rate and reports of zero mortality, we retrospectively analyzed the data with the well established predictive surgical scoring system, the Physiological and Operative Severity Score for the enUmeration of Morbidity and mortality (POSSUM), to estimate the potential risk of death in these four patients.

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“…The incidence of peritonitis following barium enemas is reported as only 2–8 cases per 10,000 examinations [9]. Generalized peritonitis is extremely critical and difficult to treat because the rapid spread of barium over the peritoneal cavity can lead to the exudation of a large volume of fluid and albumin [8], which results in hypovolemia and fecal contamination with consequent sepsis [10]. In the present case, sufficient fluid resuscitation and the administration of antibiotics were effective in early removal of barium by peritoneal lavage during laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Anastomotic stenosis of the descending colon caused by barium granuloma formation following barium peritonitis: report of a case

et al. 2013

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Anastomotic stricture reportedly often recurs following barium peritonitis, regardless of whether the anastomotic diameter is initially sufficient. However, the causes of repetitive stricture have not been clarified. We report a case that suggests the pathophysiology of recurrent anastomotic strictures following barium peritonitis. The patient was a 39-year-old Japanese man with idiopathic perforation of the descending colon after undergoing an upper gastrointestinal barium contrast study. After emergency peritoneal lavage and diverting colostomy, created using the perforated region, the patient recovered uneventfully and 3 months later, the colostomy was closed and the perforated colon was resected. However, 7 months after colostomy closure, abdominal distention gradually developed, and colonoscopy revealed an anastomotic stricture. The patient was referred to our hospital where he underwent resection of the anastomotic stricture. The surgical specimen exhibited barium granulomas not only in the subserosa of the entire specimen, but also in the submucosa and lamina propria localized in the anastomotic site. These findings suggest that barium was embedded in the submucosa and lamina propria with manipulation of the stapled anastomosis and that the barium trapped in the anastomotic site caused persistent inflammation, resulting in an anastomotic stricture.

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Barium peritonitis

Cited by 27 publications

References 2 publications

Rectal Perforations After Barium Enema: A Review

Rectal Perforations After Barium Enema: A Review

Colorectal perforation with barium enema in the elderly: Case analysis with the POSSUM scoring system

Anastomotic stenosis of the descending colon caused by barium granuloma formation following barium peritonitis: report of a case

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