Vahedian-Ardakani Jalal, Nazerani Shahram, Saraee Amir, Sarmast Ali, Saraee Ehsan, Keramati Mohammad Reza
Department of Surgery, Iran University of Medical Sciences, Tehran, Iran.
Ann Coloproctol. 2014 Dec;30(6):285-9. doi: 10.3393/ac.2014.30.6.285. Epub 2014 Dec 31.
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.
钡剂灌肠是一种常用于诊断和治疗结肠及直肠问题的程序。钡剂在直肠穿孔并大量溢入腹腔内和/或腹腔外是钡剂灌肠的一种严重并发症，会导致患者死亡率显著增加。由于近期科学文献中报道的病例数量较少，且缺乏处理这些病例的经验，我们想介绍我们对一例罕见的钡剂腹膜后污染病例的治疗方法，该病例在诊断性钡剂灌肠期间继而出现腹腔内受累情况。本文将描述我们对该患者的长期管理经验及良好预后。
