A Case Report of Barium Peritonitis Caused by Duodenal Ulcer Perforation

DOI

Bibliographic Information

Other Title
  • 十二指腸潰よう穿孔に伴うバリウム腹膜炎の１例

Description

Here, we report a 28-year-old man with barium diffuse peritonitis caused by a duodenal ulcer perforation. The patient had been taking medications for a gastroduodenal ulcer. He suddenly became sick with severe abdominal pain and visited a general practitioner. He received an upper GI series with barium contrast medium. A deformation of the duodenal bulbous portion was noted. Medications did not relieve the pain, and he was referred to our hospital with a diagnosis of acute abdomen. X-ray examination revealed free air and barium contrast medium in the abdominal cavity. An emergency operation was performed under a diagnosis of diffuse peritonitis. An open ulcer was noted at the duodenal bulbous portion, and the defect was directly sutured. The barium coating on the peritoneum was removed as much as possible. The postoperative course was uneventful, and the patient was discharged on the 13th postoperative day. Only a small number of cases of barium peritonitis have been reported. Barium peritonitis, namely, due to caused by upper GI tract perforation and large intestinal perforation, have both been reported. The An postoperative outcome of the former complication is definitely better than that of the latter. According to the medical literatures, the occurrence of adhesive ileus as a result of barium in the abdominal cavity is high, so, long-term follow-up is needed.

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Details 詳細情報について

  • CRID
    1390001204734310784
  • NII Article ID
    130004086969
  • DOI
    10.11231/jaem1993.25.947
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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