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Management of barium enema-induced colorectal perforation.
Am Surg. 1992 Nov; 58(11):673-6.AS

Abstract

Unless recognized and treated promptly, colorectal perforation induced by barium enema examination is a life-threatening complication. Between 1977 and 1986, 13,000 barium enemas were performed at the Mayo Medical Center. Colorectal perforation occurred in five patients (overall incidence: 0.04%). The two colonic perforations were managed by immediate celiotomy with resection in one and primary repair in the other. The three rectal perforations were managed conservatively in two patients and by proximal diversion in one. All patients recovered. Perforations were believed to be related to the tip of the enema catheter or presumably to excessive hydrostatic pressure. In contrast to other reports, barium enema-induced colorectal perforation is not always fatal when recognized early and treated aggressively. Localized, contained extraperitoneal rectal perforation may be managed conservatively in selected patients.

Authors+Show Affiliations

Hakim NS
Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Sarr MG
No affiliation info available
Bender CE
No affiliation info available
Nivatvongs S
No affiliation info available

MeSH

AgedAged, 80 and overBarium SulfateColonEnemaExtravasation of Diagnostic and Therapeutic MaterialsFemaleHospitals, Group PracticeHumansIncidenceIntestinal PerforationMaleMiddle AgedMinnesotaPressureRadiographyRectumRetrospective Studies

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1485698

Citation

Hakim, N S., et al. "Management of Barium Enema-induced Colorectal Perforation." The American Surgeon, vol. 58, no. 11, 1992, pp. 673-6.
Hakim NS, Sarr MG, Bender CE, et al. Management of barium enema-induced colorectal perforation. Am Surg. 1992;58(11):673-6.
Hakim, N. S., Sarr, M. G., Bender, C. E., & Nivatvongs, S. (1992). Management of barium enema-induced colorectal perforation. The American Surgeon, 58(11), 673-6.
Hakim NS, et al. Management of Barium Enema-induced Colorectal Perforation. Am Surg. 1992;58(11):673-6. PubMed PMID: 1485698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of barium enema-induced colorectal perforation. AU - Hakim,N S, AU - Sarr,M G, AU - Bender,C E, AU - Nivatvongs,S, PY - 1992/11/1/pubmed PY - 1992/11/1/medline PY - 1992/11/1/entrez SP - 673 EP - 6 JF - The American surgeon JO - Am Surg VL - 58 IS - 11 N2 - Unless recognized and treated promptly, colorectal perforation induced by barium enema examination is a life-threatening complication. Between 1977 and 1986, 13,000 barium enemas were performed at the Mayo Medical Center. Colorectal perforation occurred in five patients (overall incidence: 0.04%). The two colonic perforations were managed by immediate celiotomy with resection in one and primary repair in the other. The three rectal perforations were managed conservatively in two patients and by proximal diversion in one. All patients recovered. Perforations were believed to be related to the tip of the enema catheter or presumably to excessive hydrostatic pressure. In contrast to other reports, barium enema-induced colorectal perforation is not always fatal when recognized early and treated aggressively. Localized, contained extraperitoneal rectal perforation may be managed conservatively in selected patients. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/1485698/Management_of_barium_enema_induced_colorectal_perforation_ DB - PRIME DP - Unbound Medicine ER -