Perforation of the rectum and colon during barium enema examination. Report of four cases.
BACKGROUND
The barium enema examination (BEE) is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening.


METHODS
We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon.


RESULTS
The four patients underwent surgery because signs of peritonitis developed. Two of them recovered and two died from multiple organ failure.


CONCLUSIONS
Perforation of the colon and rectum during BEE constitutes a surgical emergency in most cases. Prompt recognition and management are vital in decreasing morbidity and mortality.
Abboud
Bassam
B
Department of General Surgery, Hôtel-Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon. dbabboud@yahoo.fr
Ata
Toufic
T
Chakhtoura
Ghassan
G
Ingea
Henri
H
Tohme
Cyril
C
Farah
Pierre
P
D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate; D003287:Contrast Media / Q000008:administration & dosage*; D004733:Enema / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008875:Middle Aged; D012007:Rectum / Q000293:injuries*
D003287:Contrast Media; D001466:Barium Sulfate