Yaşar Necdet Fatih, Ihtiyar Enver
Department of General Surgery, Eskisehir Osmangazi University Faculty of Medicine Meselik Campus, 26480 Eskisehir Turkey.
Cases J. 2009 Aug 14;2:6716. doi: 10.4076/1757-1626-2-6716.
The barium enema is a safe and accurate diagnostic study of the colon but, in rare cases, causes complications, such as colonic perforation. A colon weakened by iatrogenic trauma due to the enema tip and/or retention balloon, or by disease is more likely to perforate during an enema than is a normal healthy bowel. Rarely the colon may burst due to excessive transmural pressure alone. We report a case of colonic perforation during barium enema in a 72-year-old female patient, due to excessive barium applied into the rectum.
钡灌肠是一种对结肠安全且准确的诊断检查，但在极少数情况下会引发并发症，如结肠穿孔。因灌肠头和/或保留气囊导致医源性创伤而变弱的结肠，或因疾病而变弱的结肠，在灌肠过程中比正常健康的肠道更易穿孔。极少情况下，结肠可能仅因跨壁压力过大而破裂。我们报告一例72岁女性患者在钡灌肠期间发生结肠穿孔的病例，原因是向直肠内注入了过多的钡剂。
