Incomplete rectal perforation after barium enema: a case report

Revista Brasileira de Coloproctologia

Batista, Rodrigo Rocha¹  Formiga, Galdino José Sitonio²  Castro, Carlos Alberto Torres de¹  Albuquerque, Idblan Carvalho de²  Pincinato, André Luigi¹ 

[1] FSBCP;TSBCP

关键词: Perforation;    enema;    complications;    therapeutics;    observation;   

DOI  :  10.1590/S0101-98802010000300011

学科分类：心脏病和心血管学

来源: Sociedade Brasileira de Coloproctologia

【 摘 要 】

The barium enema, although present indications are currently restricted, is still useful on radiological workup in the colon. Colorectal perforation is the most serious complication of barium enema, occurring at 0.02 to 0.23% of examinations performed, with mortality rate of up to 50%. We report the case of male patient, 40 years, two months ago had intense anal pain and bleeding during performing of barium enema for etiologic investigation of constipation, with spontaneous improvement after a month. On examination, there was cutaneus and submucosal infiltration of the anus and extraperitoneal rectum by barium sulfate, without perforation. The enema brought by the patient and the radiography of the pelvis after two months of the examination showed incomplete rectal perforation by barium sulfate. Performed clinical observation and surgical intervention only if arises complication. Currently, patient remains asymptomatic for 15 months.

【 授权许可】

CC BY-NC