title: Haemorrhagic gastritis following Gastrografin administration for adhesive small bowel obstruction: A case report of a rare outcome.
abstract: BACKGROUND
  Adhesive small bowel obstruction (ASBO) is common after abdominal surgery. Water soluble contrast agents (WSCA) such as Gastrografin have been demonstrated to be safe and effective in predicting resolution of ASBO with conservative management while decreasing the time to resolution, decreasing the need for surgery and reducing overall length of stay. Few adverse effects have been reported. To the authors knowledge this is the first report of haemorrhagic gastritis following administration of Gastrografin for ASBO.
  
  
  METHODS
  We present a case of haemorrhagic gastritis following Gastrografin administration in a 69-year-old male with adhesive small bowel obstruction who was managed conservatively with a good outcome. The report complies with the criteria outlined in the SCARE statement (Product Information Gastrografin [Product information], 2013).
  
  
  CONCLUSIONS
  The characteristics, mechanism of action, safety profile and efficacy of Gastrografin in ASBO are discussed along with the possible mechanisms underlying the haemorrhagic gastritis.
  
  
  CONCLUSIONS
  This patient at high risk of gastropathy experienced haemorrhagic gastritis following administration of Gastrografin for adhesive small bowel obstruction. WSCA such as Gastrografin are usually safe and effective in ASBO however caution may be warranted in patients at high risk of gastropathy.
authors.affiliation: Griffith University, Gold Coast, Australia; Redland Hospital, Weippin Street, Cleveland, Queensland, 4163, Australia. Electronic address: stephen.guy2@health.qld.gov.au.
authors.forename: Stephen
authors.initials: S
authors.lastname: Guy
authors.affiliation: Redland Hospital, Weippin Street, Cleveland, Queensland, 4163, Australia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al Askari
keywords: Adhesive small bowel obstruction; Case report; Gastritis; Haemorrhage; Water-soluble contrast