Barium ingestion is a routine practice in the radiologic examination of the alimentary tract. Barium intravasation is a rare complication, often resulting in the rapid onset of hypotension and death. The literature on this type of complication is sparse. In the majority of reported cases, the event involved high pressure barium instillation. This case illustrates the rare occurrence of barium in the portal venous circulation after an upper gastrointestinal examination.
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Rare and lethal complication of barium enema intravasation.
BJR Case Rep
December 2018
Department of General Surgery, Selayang Hospital, Lebuhraya Selayang Kepong, Batu Caves, Selangor, Malaysia.
Barium enema investigation is regarded as a safe investigative procedure. Rarely, it may cause complications such as colonic perforation and barium intravasation. Barium intravasation may be caused by the inadvertent introduction of the catheter into the vagina, thereby into the vaginal venous plexus.
View Article and Find Full Text PDFBarium periostitis: an intraoral complication following barium swallow.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
May 2007
Department of Oral and Maxillofacial Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA.
Barium is used with great frequency for various gastrointestinal radiographic studies. Complications arising from the use of barium are uncommon and can range from peritonitis, pneumonitis, vascular intravasation, allergic reactions, and even "barium appendicitis." We report a case of an unusual complication, periostitis, from the use of barium in a 46-year-old male.
View Article and Find Full Text PDFIntravasation of barium sulphate at barium enema examination.
Br J Radiol
July 2006
Royal Alexandra Hospital, 10240 Kingsway, Edmontion, AB, T5H 3V, Canada.
We report a case of venous intravasation of barium sulphate occurring during a routine barium enema examination for investigation of rectal bleeding. The patient suffered a cardiopulmonary arrest, but made a full recovery after organ support in intensive care. Review of radiographs from the examination showed intravasated barium in pelvic vessels.
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Dis Colon Rectum
February 2006
Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands.
Purpose: Rectal injuries during barium enema are rare but life-threatening complications. The last review about this subject was published more than ten years ago. In the present review, we present an overview on the subject and especially focus on changes in treatment strategies and developments of less risky visualization techniques.
View Article and Find Full Text PDF[Barium embolisation into the portal vein--a complication of barium enema in Leśniowski-Crohn disease].
Pol Merkur Lekarski
July 2005
Katedra i Klinika Chirurgii Ogólnej, Transplantacyjnej i Watroby Akademii Medycznej w Warszawie.
Barium embolisation is a very rare complication of barium enema, but carries a mortality of about 50%. We report a case of 70-year-old woman with Lesniowski-Crohn disease, who survived after barium intravasation into the portal circulation produced during a barium enema.
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