Barium peritonitis--following barium enema of the proximal colon through a colostomy
The Medical Journal of Malaysia
;
: 766-768, 2003.
Article
in Malayalam
| WPRIM
| ID: wpr-629904
ABSTRACT
Perforation with extravasation of barium is a rare complication of contrast enema examination of the large bowel with a high associated mortality rate. The experience of performing a re-laparotomy in a patient previously exposed to barium peritonitis is even less common. We describe an elderly male patient with a Hartmann's procedure performed a year previously, presenting with peritonitis following barium enema evaluation of the proximal colon via an end descending colon stoma. Emergency laparotomy, segmental bowel resection and liberal peritoneal toilet resulted in a satisfactory outcome. The patient had a subsequent successful reversal of his Hartmann's procedure nine months later despite the presence of dense barium induced adhesions. This potentially preventable iatrogenic complication is discussed in this report, which is supplemented by a brief review of the English literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Barium Sulfate
/
Colostomy
/
Colon
/
Enema
/
Iatrogenic Disease
Language:
Malayalam
Journal:
The Medical Journal of Malaysia
Year:
2003
Type:
Article
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