Abstract
We encountered a case of rectal perforation without organic disease after upper gastrointestinal radiography. The patient was a 66-year-old woman who experienced abdominal pain 2 days after upper gastrointestinal radiography. Based on baroliths and mucosal laceration observed in the rectum in colonoscopy and free air noted in abdominal CT, a diagnosis of rectal perforation was made and emergent surgery was carried out. Perforation was observed in the rectosigmoid colon and baroliths were incarcerated. Resection of the colon including the perforated portion and end-to-end anastomosis were carried out. Owing to a satisfactory post-operative course, the patient was discharged 17 days after surgery. Our report on the defecation status and baroliths after gastrointestinal radiography includes a discussion of the literature.
