The investigation of symptomatic inguinal hernia: a complication of barium enema.
The controversy surrounding the value of performing screening barium enema in patients with inguinal hernia persists. It was Myers & Zollinger who, in 1942, reviewed 200 consecutive cases of inguinal hernia and noted that 18%; of patients complained of gastrointestinal symptoms. Of these, two cases of adenocarcinoma were discovered on further evaluation. Subsequently, many authors have reported a low diagnostic yield of barium enema in patients with inguinal hernia unless specific colonic symptoms were present. We present a case in which this investigation was indicated, but led to irreducibility.
Cohen
J S
JS
Department of Surgery, George Washington University, Washington DC, USA.
Sackier
J M
JM
D018253:Adenoma, Villous / Q000000981:diagnostic imaging; D000368:Aged; D001466:Barium Sulfate; D003287:Contrast Media / Q000009:adverse effects*; D004241:Diverticulum, Colon / Q000000981:diagnostic imaging; D004733:Enema / Q000009:adverse effects*; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007417:Intestinal Polyps / Q000000981:diagnostic imaging; D007421:Intestine, Small; D008297:Male; D011859:Radiography; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging; D012810:Sigmoid Diseases / Q000000981:diagnostic imaging
D003287:Contrast Media; D001466:Barium Sulfate