title: [Lethal barium sulfate embolism after accidental vaginal application (author's transl)].
abstract: The case of a 63-year-old woman is presented to whom a barium sulfate enema was administered accidentally into the vagina. During inflation of the stop manchette a deep bilateral laceration of the vaginal mucosa occurred which was neglected initially. Thus, venous vessels were ruptured and the subsequent insufflation of the barium sulfate suspension resulted in a direct injection to the afferent veins and a peracute, massive pulmonary embolism. Within 1 min irreversible heart failure followed. The case differs in some aspects from two similar cases referred to in the literature, where death occurred 15 h and 3 days, respectively, after enema.
mesh_terms: D001466:Barium Sulfate / Q000008:administration & dosage*; D004733:Enema / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology*; D014621:Vagina / Q000293:injuries*
chemical_list: D001466:Barium Sulfate
vernacular_title: Letale Bariumsulfatembolie nach versehentlich in die Vagina appliziertem Kontrastmitteleinlauf.