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Vahedian-Ardakani J, Nazerani S, Saraee A, et al. Proper management for morbid iatrogenic retroperitoneal barium insufflation. Ann Coloproctol. 2014;30(6):285-9doi: 10.3393/ac.2014.30.6.285.
Vahedian-Ardakani, J., Nazerani, S., Saraee, A., Sarmast, A., Saraee, E., & Keramati, M. R. (2014). Proper management for morbid iatrogenic retroperitoneal barium insufflation. Annals of coloproctology, 30(6), 285-9. https://doi.org/10.3393/ac.2014.30.6.285
Vahedian-Ardakani, Jalal, et al. "Proper management for morbid iatrogenic retroperitoneal barium insufflation." Annals of coloproctology vol. 30,6 (2014): 285-9. doi: https://doi.org/10.3393/ac.2014.30.6.285
Vahedian-Ardakani J, Nazerani S, Saraee A, Sarmast A, Saraee E, Keramati MR. Proper management for morbid iatrogenic retroperitoneal barium insufflation. Ann Coloproctol. 2014 Dec;30(6):285-9. doi: 10.3393/ac.2014.30.6.285. Epub 2014 Dec 31. PMID: 25580416; PMCID: PMC4286776.
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Ann Coloproctol. 2014 Dec;30(6):285-9. doi: 10.3393/ac.2014.30.6.285. Epub 2014 Dec 31.

Proper management for morbid iatrogenic retroperitoneal barium insufflation.

Annals of coloproctology

Jalal Vahedian-Ardakani, Shahram Nazerani, Amir Saraee, Ali Sarmast, Ehsan Saraee, Mohammad Reza Keramati

Affiliations

  1. Department of Surgery, Iran University of Medical Sciences, Tehran, Iran.

PMID: 25580416 PMCID: PMC4286776 DOI: 10.3393/ac.2014.30.6.285

Abstract

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.

Keywords: Barium sulfate; Enema; Iatrogenic colonic perforation

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