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Abstract
Venous intravasation of contrast is a potentially life-threatening complication of
the barium enema examination. A patient in whom portal venous contrast intravasation
was nearly fatal is presented, and the significant morbidity and mortality from this
unusual event is reviewed. Since barium infiltration into the venous system almost
always occurs in the setting of altered mucosal integrity, this examination should
be used cautiously in patients with inflammatory bowel disease or diverticulitis.
Prompt recognition and rapid resuscitation are critical to the survival of patients
with contrast intravasation.
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References
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Article info
Publication history
Accepted:
June 25,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.