Barolith, a rare cause of acute appendicitis: a case report

Ince, Volkan; Işık, Burak; Koç, Cemalettin; Başkıran, Adil; Onur, Asım

doi:10.5505/tjtes.2013.39327

Cited by 8 publications

(18 citation statements)

References 5 publications

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“…Baroliths refer to inspissated barium and fecal admixture which is formed after oral or rectal administration of barium sulfate contrast . Baroliths are often asymptomatic, but as the volume of the inspissated mass increases, it is associated with abdominal pain, nausea, emesis, severe constipation, bowel obstruction, or rarely barium peritonitis from bowel perforation .…”

Section: Discussionmentioning

confidence: 99%

“…9 Baroliths refer to inspissated barium and fecal admixture which is formed after oral or rectal administration of barium sulfate contrast. 10 Baroliths are often asymptomatic, but as the volume of the inspissated mass increases, it is associated with abdominal pain, nausea, emesis, severe constipation, bowel obstruction, or rarely barium peritonitis from bowel perforation. 11 Baroliths causing colorectal obstruction, colon wall necrosis, and perforation, appendicitis, megarectum, abdominal compartment syndrome, have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Iatrogenic constipation from barium blockade: A case report

Pathan

Benzar

Master

et al. 2019

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Iatrogenic constipation from barium blockade: A case report

Pathan

Benzar

Master

et al. 2019

Clinical Case Reports

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“…The appendix is visualized in 80–90% of barium swallow or enema studies, and this is accepted as a reliable sign of a non-diseased appendix 1 but post-examination only 10% of the patients retain barium in the appendix beyond 72 h. 3 Its prolonged retention in the appendix has been viewed as altered physiology or pathological.…”

Section: Discussionmentioning

confidence: 99%

“…Although barium sulphate is inert and not harmful to the mucosa, 3 cases have been reported where appendicitis developed long after barium studies and were tagged as barium induced appendicitis. 1,2,4,5 Baroliths have been conclusively retrieved from appendectomy specimen, even after 3 months following barium study in patients with acute appendicitis. 1 Despite these case reports studies have failed to prove the cause and effect relationship between barium study and acute appendicitis.…”

Section: Discussionmentioning

confidence: 99%

“…Visualization of the appendix in these studies is common and normal, but persistent visualization in subsequent X-ray films even after 72 h has been considered abnormal. 1 Cases have been reported where appendicitis developed in such appendices and were termed “barium induced appendicitis”. 2 However studies have failed to establish a cause and effect relationship between barium retention in the appendix and subsequent development of the appendicitis.…”

Section: Introductionmentioning

confidence: 99%

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Retained barium in the appendix or right ureteric colic? A case report of surgeons dilemma

Sinha

Gaurav³

2015

International Journal of Surgery Case Reports

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IntroductionRetention of barium in the vermiform appendix for more than 72 h following barium meal study is uncommon. It may produce undue concern for increased risk for appendicitis and even prophylactic appendectomies have been performed for this.Presentation of caseWe encountered one such patient who presented with X-ray plate suggestive of tubular radio-opacity in the right iliac fossa region. The patient had episodes of severe pain in the right lower abdomen for which he underwent barium meal study. Further evaluation and investigations established the diagnosis as, a case of recurrent right ureteric colic with retained barium in the appendix.DiscussionReview of the literature suggests that, in absence of acute appendicitis there is no role of appendectomy, even in a case of retained barium in the appendix.ConclusionIf atypical presentation is there, they should be appropriately further investigated.

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Endoscopic removal of an impacted barolith at the sigmoid colon: a rare case report

Iida

Hirano

Onodera

et al. 2017

Clin J Gastroenterol

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A 45-year-old woman visited our hospital complaining of abdominal pain 1 week after undergoing an annual medical checkup. Her vital signs and blood test results were normal, but tenderness was found in the lower abdomen. A high-density round structure found at the midline of the lower abdomen on an abdominal radiograph was thought to be an accumulation of barium (a barolith) from upper gastrointestinal barium radiography. Two liters of an oral gastrointestinal cleaning agent was administered, but defecation did not occur. Lower gastrointestinal endoscopy revealed that the barolith was impacted at the sigmoid colon. We unsuccessfully attempted to move it using a pressurized water jet and forceps, but it was too large to be captured by the net. Therefore, we broke it down using a snare. After a successful endoscopic procedure, 120 mL of a glycerin enema solution was injected through the forceps opening, causing the barolith to be excreted. There is only one similar case of successful endoscopic treatment of a barolith in the literature.

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Barolith, a rare cause of acute appendicitis: a case report

Cited by 8 publications

References 5 publications

Iatrogenic constipation from barium blockade: A case report

Iatrogenic constipation from barium blockade: A case report

Retained barium in the appendix or right ureteric colic? A case report of surgeons dilemma

Endoscopic removal of an impacted barolith at the sigmoid colon: a rare case report

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