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[Perforation of the large intestine by a contrast medium enema with barium].
Chirurg. 1988 Sep; 59(9):587-91.C

Abstract

This is a report about five patients who suffered a perforation of the colon during a barium-sulfate enema. In one case, barium leaked into the intraperitoneal cavity causing a barium peritonitis. In the other four cases, leakage into the retroperitoneal cavity occurred. All patients underwent surgical removal and drainage of the barium-sulfate and subsequently required a colostomy. In two cases a bowel resection was additionally performed. In one case the defect re-sutured. Antibiotic therapy was included in all cases. All patients survived the incident and were discharged between 20 days and four months postoperatively. Publications and personal experience led us to manage intraperitoneal or large retroperitoneal perforations by prompt laparotomy with removal of barium and faeces. A proximal colostomy is also required. In smaller retroperitoneal perforations conservative management is feasible, however, if the patient's condition deteriorates, they should be treated as recommended for an intraperitoneal perforation.

Authors+Show Affiliations

Chirurgische Klinik, St. Claraspital Basel.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

ger

PubMed ID

3229165

Citation

Graf, D, et al. "[Perforation of the Large Intestine By a Contrast Medium Enema With Barium]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 59, no. 9, 1988, pp. 587-91.
Graf D, Schuppisser JP, Tondelli P. [Perforation of the large intestine by a contrast medium enema with barium]. Chirurg. 1988;59(9):587-91.
Graf, D., Schuppisser, J. P., & Tondelli, P. (1988). [Perforation of the large intestine by a contrast medium enema with barium]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 59(9), 587-91.
Graf D, Schuppisser JP, Tondelli P. [Perforation of the Large Intestine By a Contrast Medium Enema With Barium]. Chirurg. 1988;59(9):587-91. PubMed PMID: 3229165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforation of the large intestine by a contrast medium enema with barium]. AU - Graf,D, AU - Schuppisser,J P, AU - Tondelli,P, PY - 1988/9/1/pubmed PY - 1988/9/1/medline PY - 1988/9/1/entrez SP - 587 EP - 91 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 59 IS - 9 N2 - This is a report about five patients who suffered a perforation of the colon during a barium-sulfate enema. In one case, barium leaked into the intraperitoneal cavity causing a barium peritonitis. In the other four cases, leakage into the retroperitoneal cavity occurred. All patients underwent surgical removal and drainage of the barium-sulfate and subsequently required a colostomy. In two cases a bowel resection was additionally performed. In one case the defect re-sutured. Antibiotic therapy was included in all cases. All patients survived the incident and were discharged between 20 days and four months postoperatively. Publications and personal experience led us to manage intraperitoneal or large retroperitoneal perforations by prompt laparotomy with removal of barium and faeces. A proximal colostomy is also required. In smaller retroperitoneal perforations conservative management is feasible, however, if the patient's condition deteriorates, they should be treated as recommended for an intraperitoneal perforation. SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/3229165/[Perforation_of_the_large_intestine_by_a_contrast_medium_enema_with_barium]_ L2 - https://medlineplus.gov/rectaldisorders.html DB - PRIME DP - Unbound Medicine ER -