Tadros S, Watters J M
Department of Surgery, Faculty of Health Sciences, University of Ottawa, Ottawa Civic Hospital, Ont.
Can J Surg. 1988 Jan;31(1):49-50.
Colorectal perforation during barium enema examination is rare. The authors report the case of an 84-year-old woman in whom retroperitoneal perforation of the rectum occurred during barium enema examination. Potential mechanisms of injury include trauma, overinflation of the balloon, recent instrumentation and associated disease of the rectal mucosa. When the colon has been well prepared before examination, and air alone, not barium, has been insufflated into the retroperitoneum, then such injuries may be managed successfully without operation, as in this case.
钡剂灌肠检查期间发生的结直肠穿孔较为罕见。作者报告了一例84岁女性病例，该患者在钡剂灌肠检查期间发生直肠腹膜后穿孔。潜在的损伤机制包括创伤、球囊过度充气、近期的器械操作以及直肠黏膜的相关疾病。当在检查前结肠已做好充分准备，且仅向腹膜后注入空气而非钡剂时，那么此类损伤可能无需手术即可成功处理，本病例即是如此。
