[A case of idiopathic colitis developed after barium enema].
It has been reported that colitis may be associated with intrarectally administered drugs or chemicals. Colonotoxicity may results from conventional medical therapy, herbal or other illicit drugs, contrast materials, and detergents. Clues that a colitis may be due to an intrarectally administered agent include perianal excoriation, segmental distal colitis due to a concentration gradient from enema administration, and recent diagnostic or therapeutic administration of high risk solutions such as hypertonic contrast agents or detergent enemas. Barium is a highly viscous contrast agent that is insoluble in water. Barium enemas are usually very safe. Also, no case report of barium-induced chemical colitis has been reported yet. We report a case of chemical colitis with colonic stricture occurring after the barium enema for diagnostic purpose.
Lee
Jong Hoo
JH
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Kim
Hyo Jong
HJ
Kim
Han Soo
HS
Hong
Jong Wook
JW
Jang
Jae Young
JY
Nam
Ki Deuk
KD
Kim
Nam Hoon
NH
Lee
Sang Kil
SK
Joo
Kwang Ro
KR
Dong
Seok Ho
SH
Kim
Byung Ho
BH
Chang
Young Woon
YW
Lee
Joung Il
JI
Chang
Rin
R
Kim
Yoon Hwa
YH
D001466:Barium Sulfate / Q000009:adverse effects*; D003092:Colitis / Q000139:chemically induced* / Q000473:pathology; D003287:Contrast Media / Q000009:adverse effects*; D004733:Enema; D006801:Humans; D008297:Male; D008875:Middle Aged
D003287:Contrast Media; D001466:Barium Sulfate