Gelfand D W, Ott D J, Ramquist N A
Gastrointest Radiol. 1979 Aug 15;4(3):307-8. doi: 10.1007/BF01887543.
A case of pneumoperitoneum occurring during double-contrast barium enema is described. Cases reported to date indicate that colonic rupture during a double-contrast enema is likely to result in exit of air rather than barium from the colon. The diagnostic implicatons of this observation are considered. The potentially high pressure generated by bulb-type inflators is discussed, and caustion is advised against overdistending the colon during double-contrast enemas.
本文描述了一例在双重对比钡灌肠检查过程中发生气腹的病例。迄今为止报告的病例表明,双重对比灌肠检查期间结肠破裂可能导致空气而非钡剂从结肠排出。本文考虑了这一观察结果的诊断意义。讨论了球囊式充气器产生的潜在高压,并建议在双重对比灌肠时避免过度扩张结肠。