Han S Y, Tishler J M
Radiology. 1982 Jul;144(2):253-5. doi: 10.1148/radiology.144.2.7089276.
Four cases of perforation of the colon above the peritoneal reflection during a barium-enema examination were reviewed with regard to the type of examination, site of perforation, status of the colon, clinical manifestations, mode of detection, and consequences. Perforation above the peritoneal reflection does not seem to be directly related to technical factors. The cecum and ascending colon, with their larger lumina, are the most likely sites. Because such patients are usually asymptomatic at the time, careful examination of post-fluoroscopic radiographs for signs of perforation is strongly recommended.
回顾了4例钡剂灌肠检查期间结肠腹膜反折上方穿孔的病例，涉及检查类型、穿孔部位、结肠状况、临床表现、检测方式及后果。腹膜反折上方的穿孔似乎与技术因素无直接关联。盲肠和升结肠管腔较大，是最可能的穿孔部位。由于此类患者当时通常无症状，强烈建议仔细检查透视后X光片以寻找穿孔迹象。
