Barium sulfate
- PDF / 170,202 Bytes
- 1 Pages / 595.245 x 841.846 pts (A4) Page_size
- 44 Downloads / 253 Views
1 S
Barium appendicitis: case report A 52-year-old woman developed barium appendicitis following treatment with barium sulfate enema. The woman was hospitalised with nausea, vomiting, hyperthermia and worsening abdominal pain which she had been experiencing since two days. Anamnesis revealed that about one month prior to the admission, she had left lower quadrant pain which had resolved spontaneously. To investigate the case of her left lower quadrant pain, investigation had been performed under barium sulfate [dosage not stated] enema 5 days prior to the admission which had revealed sigmoid colon diverticulosis. Vermiform appendix had been filled with barium sulfate and showed no abnormalities. She presented to the hospital with pain in right iliac fossa, nausea and anorexia for past two days. Pointing sign was positive. During the first day from its onset, the pain was dull (visual analog scale score: 3/10). On the second day, the pain had intensified up to visual analog scale score of 8/10. During the admission, investigations revealed the following: tenderness with peritoneal irritation signs over the right iliac fossa, BP 140/75mm Hg, HR 96 bpm, body temperature 38.3°C and laboratory findings showed leukocytosis with toxic left shift (band neutrophils 12%). An abdominal CT revealed radiologic features of acute appendicitis with obstruction of the appendiceal lumen by a barolith. She was diagnosed with barium appendicitis. The woman underwent open appendectomy. Her postoperative course was uneventful except for a superficial incisional surgical site infection, which resolved after drainage and daily dressing changes. She was discharged on the 8th postoperative day. Pathological examination confirmed acute appendicitis. During a follow-up 2 months later, she was doing well. Gachabayov M, et al. Barium appendicitis: An unusual complication of barium enema. American Surgeon 85: E160-E161, No. 3, Mar 2019. Available from: URL: http:// doi.org/10.1177/000313481908500316 803500825
0114-9954/20/1821-0001/$14.95 Adis © 2020 Springer Nature Switzerland AG. All rights reserved
Reactions 12 Sep 2020 No. 1821
Data Loading...
