Ann Coloproctol.  2014 Dec;30(6):285-289. 10.3393/ac.2014.30.6.285.

Proper Management for Morbid Iatrogenic Retroperitoneal Barium Insufflation

• Vahedian-Ardakani J
• Nazerani S
• Saraee A
• Sarmast A
• Saraee E
• Keramati M

• KMID: 1882738
• DOI: http://doi.org/10.3393/ac.2014.30.6.285

Abstract

A barium enema is a diagnostic and therapeutic procedure commonly used for colon and rectum problems. Rectal perforation with extensive intra- and/or extraperitoneal spillage of barium is a devastating complication of a barium enema that leads to a significant increase in patient mortality. Due to the low number of reported cases in recent scientific literature and the lack of experience with the management of these cases, we would like to present our treatment approach to a rare case of retroperitoneal contamination with barium, followed by its intraperitoneal involvement during a diagnostic barium enema. Our experience with long-term management of the patient and the good outcome will be depicted in this paper.

Keyword

Enema; Barium sulfate; Iatrogenic colonic perforation

MeSH Terms

Barium Sulfate
Barium*
Colon
Enema
Humans
Insufflation*
Mortality
Rectum
Barium
Barium Sulfate