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Perforation of the rectum and colon during barium enema examination. Report of four cases.
J Med Liban. 2003 Jan-Mar; 51(1):51-4.JM

Abstract

BACKGROUND

The barium enema examination (BEE) is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening.

STUDY DESIGN

We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon.

RESULTS

The four patients underwent surgery because signs of peritonitis developed. Two of them recovered and two died from multiple organ failure.

CONCLUSION

Perforation of the colon and rectum during BEE constitutes a surgical emergency in most cases. Prompt recognition and management are vital in decreasing morbidity and mortality.

Authors+Show Affiliations

Abboud B
Department of General Surgery, Hôtel-Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon. dbabboud@yahoo.fr
Ata T
No affiliation info available
Chakhtoura G
No affiliation info available
Ingea H
No affiliation info available
Tohme C
No affiliation info available
Farah P
No affiliation info available

MeSH

AgedAged, 80 and overBarium SulfateContrast MediaEnemaFemaleHumansIntestinal PerforationMiddle AgedRectum

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15181960

Citation

Abboud, Bassam, et al. "Perforation of the Rectum and Colon During Barium Enema Examination. Report of Four Cases." Le Journal Medical Libanais. the Lebanese Medical Journal, vol. 51, no. 1, 2003, pp. 51-4.
Abboud B, Ata T, Chakhtoura G, et al. Perforation of the rectum and colon during barium enema examination. Report of four cases. J Med Liban. 2003;51(1):51-4.
Abboud, B., Ata, T., Chakhtoura, G., Ingea, H., Tohme, C., & Farah, P. (2003). Perforation of the rectum and colon during barium enema examination. Report of four cases. Le Journal Medical Libanais. the Lebanese Medical Journal, 51(1), 51-4.
Abboud B, et al. Perforation of the Rectum and Colon During Barium Enema Examination. Report of Four Cases. J Med Liban. 2003 Jan-Mar;51(1):51-4. PubMed PMID: 15181960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforation of the rectum and colon during barium enema examination. Report of four cases. AU - Abboud,Bassam, AU - Ata,Toufic, AU - Chakhtoura,Ghassan, AU - Ingea,Henri, AU - Tohme,Cyril, AU - Farah,Pierre, PY - 2004/6/9/pubmed PY - 2004/7/23/medline PY - 2004/6/9/entrez SP - 51 EP - 4 JF - Le Journal medical libanais. The Lebanese medical journal JO - J Med Liban VL - 51 IS - 1 N2 - BACKGROUND: The barium enema examination (BEE) is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening. STUDY DESIGN: We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon. RESULTS: The four patients underwent surgery because signs of peritonitis developed. Two of them recovered and two died from multiple organ failure. CONCLUSION: Perforation of the colon and rectum during BEE constitutes a surgical emergency in most cases. Prompt recognition and management are vital in decreasing morbidity and mortality. SN - 0023-9852 UR - https://www.unboundmedicine.com/medline/citation/15181960/Perforation_of_the_rectum_and_colon_during_barium_enema_examination__Report_of_four_cases_ DB - PRIME DP - Unbound Medicine ER -