Perforation of the rectum and colon during barium enema examination. Report of four cases
Abboud, B.; Ata, T.; Chakhtoura, G.; Ingea, H.; Tohme, C.; Farah, P.
Le Journal Medical Libanais. Lebanese Medical Journal 51(1): 51-54
2003
ISSN/ISBN: 0023-9852 PMID: 15181960 Document Number: 554355
The barium enema examination (BEE) is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening. We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon. The four patients underwent surgery because signs of peritonitis developed. Two of them recovered and two died from multiple organ failure. Perforation of the colon and rectum during BEE constitutes a surgical emergency in most cases. Prompt recognition and management are vital in decreasing morbidity and mortality.