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Unexpected Barium Aspiration

A barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the...

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Autores principales: Vangara, Avinash, Gullapalli, Dedeepya, Do, Tuong Vi, Chan, Regina, Kalafatis, Kathleen, Ganti, SubramanyaShyam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288401/
https://www.ncbi.nlm.nih.gov/pubmed/37341445
http://dx.doi.org/10.1177/23247096231181867
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author Vangara, Avinash
Gullapalli, Dedeepya
Do, Tuong Vi
Chan, Regina
Kalafatis, Kathleen
Ganti, SubramanyaShyam
author_facet Vangara, Avinash
Gullapalli, Dedeepya
Do, Tuong Vi
Chan, Regina
Kalafatis, Kathleen
Ganti, SubramanyaShyam
author_sort Vangara, Avinash
collection PubMed
description A barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the right middle lobe that persisted on chest X-ray. A 62-year-old male with a past medical history of hypertension, long-term back pain, gastritis, and anxiety presented with the complaints of hoarseness of voice, dysphagia, and weight loss for several months. During the esophagram, the patient aspirated the barium contrast. Chest X-ray confirmed the aspiration in the right middle lobe with a tree in bud appearance suggesting involvement of bronchioles. Three months later, a repeat chest X-ray revealed residual contrast. Pulmonary complications are directly related to the amount of aspirated barium and can include hypoxia, respiratory failure, secondary aspiration pneumonia, shock, and acute respiration distress syndrome. The prognosis of a barium aspiration is dependent on the amount of barium aspirated.
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spelling pubmed-102884012023-06-24 Unexpected Barium Aspiration Vangara, Avinash Gullapalli, Dedeepya Do, Tuong Vi Chan, Regina Kalafatis, Kathleen Ganti, SubramanyaShyam J Investig Med High Impact Case Rep Case Report A barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the right middle lobe that persisted on chest X-ray. A 62-year-old male with a past medical history of hypertension, long-term back pain, gastritis, and anxiety presented with the complaints of hoarseness of voice, dysphagia, and weight loss for several months. During the esophagram, the patient aspirated the barium contrast. Chest X-ray confirmed the aspiration in the right middle lobe with a tree in bud appearance suggesting involvement of bronchioles. Three months later, a repeat chest X-ray revealed residual contrast. Pulmonary complications are directly related to the amount of aspirated barium and can include hypoxia, respiratory failure, secondary aspiration pneumonia, shock, and acute respiration distress syndrome. The prognosis of a barium aspiration is dependent on the amount of barium aspirated. SAGE Publications 2023-06-21 /pmc/articles/PMC10288401/ /pubmed/37341445 http://dx.doi.org/10.1177/23247096231181867 Text en © 2023 American Federation for Medical Research https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Vangara, Avinash
Gullapalli, Dedeepya
Do, Tuong Vi
Chan, Regina
Kalafatis, Kathleen
Ganti, SubramanyaShyam
Unexpected Barium Aspiration
title Unexpected Barium Aspiration
title_full Unexpected Barium Aspiration
title_fullStr Unexpected Barium Aspiration
title_full_unstemmed Unexpected Barium Aspiration
title_short Unexpected Barium Aspiration
title_sort unexpected barium aspiration
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288401/
https://www.ncbi.nlm.nih.gov/pubmed/37341445
http://dx.doi.org/10.1177/23247096231181867
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