Rare and lethal complication of barium enema intravasation.

作者: Guo Hou Loo , Farah Marzuki , Fitjerald Henry

DOI: 10.1259/BJRCR.20180017

关键词: CoagulopathyVenous plexusBarium enemaCatheterVaginal venous plexusIntravasationSudden deathSurgeryPerforation (oil well)Medicine

摘要: Barium enema investigation is regarded as a safe investigative procedure. Rarely, it may cause complications such colonic perforation and barium intravasation. intravasation be caused by the inadvertent introduction of catheter into vagina, thereby vaginal venous plexus. It also occur through mechanical with catheter, or via diseased bowel conditions. This lead to liver microabscesses, massive pulmonary embolism, hypovolemic shock, disseminated intravascular coagulopathy even sudden death. With that in mind, we would like report an interesting case portal system vagina The patient experienced abdominal discomfort mild per bleed went coagulopathy. She received supportive management she made full recovery.

参考文章(4)
A. Partanen-Talsta, S. Hyyppä, J. Hirvonen, Generalized fatal BaSO4 embolism from vaginal application of colonographic enema. A case report. Forensic Science. ,vol. 6, pp. 9- 15 ,(1975) , 10.1016/0300-9432(75)90218-6
A.H. Chapman, A. Blakeborough, Complications from inflation of a retention rectal balloon catheter in the vagina at barium enema Clinical Radiology. ,vol. 53, pp. 768- 770 ,(1998) , 10.1016/S0009-9260(98)80322-X
J S White, R T Skelly, K R Gardiner, J Laird, M C Regan, Intravasation of barium sulphate at barium enema examination. British Journal of Radiology. ,vol. 79, ,(2006) , 10.1259/BJR/57839881
Philippe Lunetta, Ilkka Ojanpera, Antti Sajantila, Fatal iatrogenic BaSO4 embolism: morphological and ultrastructural findings confirmed by X-ray microanalysis and ICP-AES. Forensic Science International. ,vol. 172, pp. 203- 207 ,(2007) , 10.1016/J.FORSCIINT.2006.11.009