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Loo GH, Marzuki F, Henry F. Rare and lethal complication of barium enema intravasation. BJR Case Rep. 2018;4(4):20180017doi: 10.1259/bjrcr.20180017.
Loo, G. H., Marzuki, F., & Henry, F. (2018). Rare and lethal complication of barium enema intravasation. BJR case reports, 4(4), 20180017. https://doi.org/10.1259/bjrcr.20180017
Loo, Guo Hou, et al. "Rare and lethal complication of barium enema intravasation." BJR case reports vol. 4,4 (2018): 20180017. doi: https://doi.org/10.1259/bjrcr.20180017
Loo GH, Marzuki F, Henry F. Rare and lethal complication of barium enema intravasation. BJR Case Rep. 2018 Dec;4(4):20180017. doi: 10.1259/bjrcr.20180017. Epub 2018 May 24. PMID: 30931138; PMCID: PMC6438402.
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BJR Case Rep. 2018 Dec;4(4):20180017. doi: 10.1259/bjrcr.20180017. Epub 2018 May 24.

Rare and lethal complication of barium enema intravasation.

BJR case reports

Guo Hou Loo, Farah Marzuki, Fitjerald Henry

Affiliations

  1. Department of General Surgery, Selayang Hospital, Lebuhraya Selayang Kepong, Batu Caves, Selangor, Malaysia.
  2. Department of General Surgery, Tengku Ampuan Rahimah Hospital, Jalan Langat, Klang Selangor, Malaysia.

PMID: 30931138 PMCID: PMC6438402 DOI: 10.1259/bjrcr.20180017

Abstract

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. It may also occur through mechanical colonic perforation with the catheter, or via diseased bowel conditions. This may lead to complications such as liver microabscesses, massive pulmonary embolism, hypovolemic shock, disseminated intravascular coagulopathy and even sudden death. With that in mind, we would like to report an interesting case of barium intravasation into the portal venous system via the vagina venous plexus. The patient experienced abdominal discomfort with mild per vaginal bleed and went into disseminated intravascular coagulopathy. She received supportive management and she made a full recovery.

References

  1. Forensic Sci. 1975 Aug-Oct;6(1-2):9-15 - PubMed
  2. Br J Radiol. 2006 Jul;79(943):e32-5 - PubMed
  3. Forensic Sci Int. 2007 Oct 25;172(2-3):203-7 - PubMed
  4. Clin Radiol. 1998 Oct;53(10):768-70 - PubMed

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