Journal of Nihon University Medical Association
Online ISSN : 1884-0779
Print ISSN : 0029-0424
ISSN-L : 0029-0424
Case Reports:
Two Cases of Colonic Perforation after Barium Gastrography
Yoritaka MatsunoKen HagiwaraYuriko IsagawaTaiki MiyakuniMasahito IgarashiAkira KanamotoKeio SouShigeoki HayashiTadatoshi Takayama
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2018 Volume 77 Issue 2 Pages 99-104

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Abstract

Perforation of the colon after barium gastrography is extremely rare. We report two cases of the disease with a review of the literature. Case 1 involved a 68-year-old male who presented with abdominal pain the day after undergoing barium study for gastric cancer screening. Abdominal Computed Tomography (CT) and Gastrografin Enema (GE) suggested perforation of the sigmoid colon. An emergency operation revealed a 6-cm perforation in the sigmoid colon. Hartmann′s operation and drainage were performed. Case 2 involved a 48-year-old female who presented with abdominal pain two days after undergoing barium study for gastric cancer screening. Abdominal CT and GE suggested perforation of the descending colon. An emergency operation revealed a 5-cm perforation in the descending colon. Descending colon resection and colostomy were performed. Colonic perforation is one of the complications of barium gastrography, but it occurs rarely. It is important to consider the selection of modality for gastric cancer screening and the risk management of barium gastrography.

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© 2018 The Nihon University Medical Association
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