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Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review

Unrecognized vaginal intubation during the barium enema procedure with subsequent balloon inflation and contrast instillation is a potentially fatal complication of an otherwise common and routine procedure. We describe a patient who, while undergoing a routine barium enema, had misplacement of the...

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Autores principales: Towers, Geoffrey D., Ng, Lisa, Maxwell, Rose A., Madison, Shannon, Yaklic, Jerome L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6514427/
https://www.ncbi.nlm.nih.gov/pubmed/31193046
http://dx.doi.org/10.1016/j.radcr.2019.04.017
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author Towers, Geoffrey D.
Ng, Lisa
Maxwell, Rose A.
Madison, Shannon
Yaklic, Jerome L.
author_facet Towers, Geoffrey D.
Ng, Lisa
Maxwell, Rose A.
Madison, Shannon
Yaklic, Jerome L.
author_sort Towers, Geoffrey D.
collection PubMed
description Unrecognized vaginal intubation during the barium enema procedure with subsequent balloon inflation and contrast instillation is a potentially fatal complication of an otherwise common and routine procedure. We describe a patient who, while undergoing a routine barium enema, had misplacement of the enema catheter into the vagina, subsequent rupture of the superior/lateral vagina upon inflation of the catheter retention balloon, and injection of barium contrast into the retroperitoneum. The patient was admitted for surgical repair of the vaginal laceration and monitoring for chemical peritonitis; and was managed without exploratory laparotomy. We review the existing literature, summarize 18 reported cases from worldwide literature, detail potential complications and propose management and prevention strategies based on the mechanism of injury.
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spelling pubmed-65144272019-05-21 Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review Towers, Geoffrey D. Ng, Lisa Maxwell, Rose A. Madison, Shannon Yaklic, Jerome L. Radiol Case Rep Genitourinary Unrecognized vaginal intubation during the barium enema procedure with subsequent balloon inflation and contrast instillation is a potentially fatal complication of an otherwise common and routine procedure. We describe a patient who, while undergoing a routine barium enema, had misplacement of the enema catheter into the vagina, subsequent rupture of the superior/lateral vagina upon inflation of the catheter retention balloon, and injection of barium contrast into the retroperitoneum. The patient was admitted for surgical repair of the vaginal laceration and monitoring for chemical peritonitis; and was managed without exploratory laparotomy. We review the existing literature, summarize 18 reported cases from worldwide literature, detail potential complications and propose management and prevention strategies based on the mechanism of injury. Elsevier 2019-05-09 /pmc/articles/PMC6514427/ /pubmed/31193046 http://dx.doi.org/10.1016/j.radcr.2019.04.017 Text en © 2019 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Genitourinary
Towers, Geoffrey D.
Ng, Lisa
Maxwell, Rose A.
Madison, Shannon
Yaklic, Jerome L.
Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title_full Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title_fullStr Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title_full_unstemmed Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title_short Vaginal laceration during barium enema with extraperitoneal extravasation: Case report and literature review
title_sort vaginal laceration during barium enema with extraperitoneal extravasation: case report and literature review
topic Genitourinary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6514427/
https://www.ncbi.nlm.nih.gov/pubmed/31193046
http://dx.doi.org/10.1016/j.radcr.2019.04.017
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