Barium peritonitis. Report of a case and review of the literature.
A case of generalized peritonitis, secondary to a perforation of the rectosigmoid colon during barium-enema roentgenography, is presented. The patient required immediate surgical intervention with the prime importance of the treatment being removal of as much of the contaminating materials as possible. This was done successfully with irrigation and wiping, using urokinase solution. Peritoneal lavage with urokinase solution was also carried out in the early postoperative period. Fluid replacement with careful monitoring of fluid and electrolyte balance is essential before, during, and after the surgical procedure. Adequate antibiotic therapy and careful respiratory and nutritional support are also important.
D000368:Aged; D001466:Barium Sulfate / Q000009:adverse effects*; D003108:Colonic Diseases / Q000150:complications; D004733:Enema; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications; D008297:Male; D010529:Peritoneal Cavity; D010538:Peritonitis / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000000981:diagnostic imaging; D007507:Therapeutic Irrigation / Q000379:methods; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D001466:Barium Sulfate; D014568:Urokinase-Type Plasminogen Activator