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Brief clinical report| Volume 109, ISSUE 6, P788-791, June 1991

Portal venous barium intravasation complicating barium enema examination

  • Michael J. Wheatley
    Affiliations
    Department of Surgery, Division of Gastrointestinal Surgery, Division of Gastrointestinal Surgery, University of Michigan Medical School, Ann Arbor, Mich., USA
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  • Frederic E. Eckhauser
    Correspondence
    Reprint requests: Frederic E. Eckhauser, MD, Department of Surgery, University of Michigan Medical School, University Hospital, 1500 E. Medical Center Dr. Ann Arbor, MI 48109.
    Affiliations
    Department of Surgery, Division of Gastrointestinal Surgery, Division of Gastrointestinal Surgery, University of Michigan Medical School, Ann Arbor, Mich., USA
    Search for articles by this author
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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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