Chronic barium peritonitis and small bowel obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Bowel obstruction as a child with barium leak following a radiological procedure. Now abdominal distension and pain, ? SBO

Patient Data

Age: 25
Gender: Male

Radio-opaque material beneath the hemidiaphragms consistant with barium lining the peritoneal cavity.

Diffuse radio-opaque material throughout the peritoneal cavity indicative of barium with marked fluid-filled distension of small bowel loops and collapsed colon indicative of distal small bowel obstruction.

Case Discussion

Barium is highly irritant to the peritoneum and induces considerable adhesions leading to recurrent bowel obstruction.

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Case information

rID: 29151
Case created: 6th May 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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