2019 Volume 39 Issue 6 Pages 1095-1099
A 63-year-old woman was admitted with sudden abdominal pain that had developed one day after an upper GI series. Abdominal computed tomography revealed residual barium in the sigmoid colon and free air around the sigmoid colon. An emergency operation was performed for perforation of the sigmoid colon. The perforation measured 3.0 cm. A barium bolus, 8 cm in diameter, was recognized in the abdominal cavity. Colostomy was performed for perforation of the sigmoid colon. Colorectal perforation after barium gastrography is very rare, but such cases can have a fatal outcome if not properly and promptly managed.