Colonic chemobezoar--intestinal obstruction due to barium inspissation.
A 72-year-old man presented with constipation of 45 days' duration, with history suggestive of recurrent episodes of subacute intestinal obstruction relieved by passage of fluid and flatus; he had noticed an abdominal lump 30 days prior. Examination revealed a lump corresponding to the contours of the entire large intestine. X-ray showed barium outlining the colon. Enquiry revealed that he had undergone a barium enema study 10 days prior to appearance of the lump. The diagnosis of barium inspissation was confirmed at laparotomy; total colectomy with ileo-rectal anastomosis was done.
Pai
M L
ML
Department of Surgery, Seth G S Medical College, Mumbai.
Acharya
B S
BS
Bapat
R D
RD
D000368:Aged; D000714:Anastomosis, Surgical; D001466:Barium Sulfate / Q000009:adverse effects*; D001630:Bezoars; D003106:Colon; D003108:Colonic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D003248:Constipation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D004733:Enema / Q000009:adverse effects; D006801:Humans; D007082:Ileum / Q000601:surgery; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D011859:Radiography; D012007:Rectum / Q000601:surgery
D001466:Barium Sulfate