Colorectal perforation following barium examination in children.
Barium contrast study is a frequently performed investigation in children, but colorectal perforation complicating the procedure is uncommon. A 2-month-old boy suspected of having Hirschsprung s disease developed an intraperitoneal rectal perforation following barium enema for which repair and diversion colostomy was performed. Another 4-year-old boy with Hirschsprung s disease and a transverse colostomy developed a colorectal perforation during distal colostogram using barium and was managed non-operatively. Both patients are well. The management of this uncommon complication is discussed.
Ameh
E A
EA
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Chom
N D
ND
D001466:Barium Sulfate; D002675:Child, Preschool; D003106:Colon / Q000293:injuries*; D003287:Contrast Media; D004733:Enema / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D012007:Rectum / Q000293:injuries*
D003287:Contrast Media; D001466:Barium Sulfate