Document Detail

Rectal perforation during barium enema. Report of a case.
MedLine Citation:
PMID:  3292163     Owner:  NLM     Status:  MEDLINE    
Perforation of the colon or rectum during the course of barium-enema examination is estimated to occur in approximately 500 patients annually in the United States. It has been over 30 years since the last collective review on this subject reported a prohibitively high mortality and morbidity. Since that time, much has been learned about the treatment of patients with peritonitis and bowel perforation, many new and more effective antibiotics have become available, and the management of shock has become infinitely more sophisticated. A review of recently reported cases suggests that the mortality rate and possibly the early morbidity have fallen markedly. Late complications such as adhesive small-bowel obstruction and retroperitoneal fibrosis with ureteral stenosis are well described, but data on the incidence of these long-term sequelae are still not available.
R P Cordone; S Z Brandeis; H Richman
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  31     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-08-18     Completed Date:  1988-08-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  563-9     Citation Subset:  IM    
Department of Surgery, New York Infirmary, Beekman Downtown Hospital, New York.
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MeSH Terms
Aged, 80 and over
Barium Sulfate / diagnostic use*
Enema / adverse effects*
Intestinal Perforation / etiology*,  radiography
Rectum / injuries*,  radiography
Reg. No./Substance:
7727-43-7/Barium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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