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. 1975 Apr;181(4):418–423. doi: 10.1097/00000658-197504000-00009

Barium Granuloma of the Rectum: An Uncommon Complication of Barium Enema

Joseph W Lewis Jr, Morris D Kerstein, Neal Koss
PMCID: PMC1343781  PMID: 1130860

Abstract

Barium sulfate granuloma of the rectum may develop when this contrast material is forced through a discontinuity in the rectal mucosa. The ensuing mass may be confused with carcinoma. Preoperative biopsy and attention to plain films will prevent unnecessary inappropriate surgery.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Altobelli J. A., Yamashita T., Kratzer G. L. Necrotizing proctitis caused by injection of barium into the wall of the rectum: report of a case. Dis Colon Rectum. 1970 Jul-Aug;13(4):333–335. doi: 10.1007/BF02617257. [DOI] [PubMed] [Google Scholar]
  2. BEDDOE H. L., KAY S., KAYE S. Barium granuloma of the rectum; report of a case. J Am Med Assoc. 1954 Feb 27;154(9):747–749. doi: 10.1001/jama.1954.02940430017005a. [DOI] [PubMed] [Google Scholar]
  3. BURNIKEL R. H. Barium granuloma: an anorectal complication of barium enema x-ray studies. Dis Colon Rectum. 1962 May-Jun;5:224–227. doi: 10.1007/BF02616641. [DOI] [PubMed] [Google Scholar]
  4. Bernier L., Miller G. Le granulome au baryum. Laval Med. 1966 Apr;37(4):462–467. [PubMed] [Google Scholar]
  5. CARTER R. W. Barium granuloma of the rectum. A complication of diagnostic barium enema examinations. Am J Roentgenol Radium Ther Nucl Med. 1963 Apr;89:880–882. [PubMed] [Google Scholar]
  6. COCHRAN D. Q., ALMOND C. H., SHUCART W. A. An experimental study of the effects of barium and intestinal contents on the peritoneal cavity. Am J Roentgenol Radium Ther Nucl Med. 1963 Apr;89:883–887. [PubMed] [Google Scholar]
  7. Carney J. A., Stephens D. H. Intramural barium (barium granuloma) of colon and rectum. Gastroenterology. 1973 Aug;65(2):316–320. [PubMed] [Google Scholar]
  8. Dehart O. W. Barium appendicitis--report of a case. J Okla State Med Assoc. 1970 Dec;63(12):570–572. [PubMed] [Google Scholar]
  9. ELLIOT J. S., ROSENBERG M. L. Ureteral occlusion by barium granuloma. J Urol. 1954 Jun;71(6):692–694. doi: 10.1016/S0022-5347(17)67847-9. [DOI] [PubMed] [Google Scholar]
  10. Eastwood G. L. ECG abnormalities associated with the barium enema. JAMA. 1972 Feb;219(6):719–721. [PubMed] [Google Scholar]
  11. Faivre J., Balabaud C., Bancons J., Dubarry J. J. L'infiltration barytée du rectum. Sa localisation anatomique. Confrontations cliniques et expérimentales. Arch Fr Mal App Dig. 1971 Jun-Jul;60(6):337–344. [PubMed] [Google Scholar]
  12. GORDON B. S., CLYMAN D. Barium granuloma of the rectum. Gastroenterology. 1957 May;32(5):943–951. [PubMed] [Google Scholar]
  13. Gardiner H., Miller R. E. Barium peritonitis. A new therapeutic approach. Am J Surg. 1973 Mar;125(3):350–352. doi: 10.1016/0002-9610(73)90059-7. [DOI] [PubMed] [Google Scholar]
  14. Gaston E. A. Barium granuloma of the rectum. Dis Colon Rectum. 1969 Jul-Aug;12(4):241–247. doi: 10.1007/BF02617276. [DOI] [PubMed] [Google Scholar]
  15. KAY S. Tissue reaction to barium sulfate contrast medium; histopathologic study. AMA Arch Pathol. 1954 Apr;57(4):279–284. [PubMed] [Google Scholar]
  16. LARGE P. G., MUKHEIBER W. J. Injury to rectum and anal canal by enema syringes. Lancet. 1956 Sep 22;271(6943):596–599. doi: 10.1016/s0140-6736(56)92292-9. [DOI] [PubMed] [Google Scholar]
  17. LEVINE S., SIMPSON D. B. Barium sulfate granuloma of the rectum. Am J Proctol. 1960 Dec;11:485–490. [PubMed] [Google Scholar]
  18. LORINC P., BRAHME F. Perforation of the colon during examination by the double contrast method. Gastroenterology. 1959 Dec;37:770–773. [PubMed] [Google Scholar]
  19. Lull G. F., Jr, Bryne J. P., Sanowski R. A. Barium sulfate granuloma of the rectum. A rare entity. JAMA. 1971 Aug 23;217(8):1102–1103. [PubMed] [Google Scholar]
  20. MCCURDY R. E., SAWYER R. B. Barium granuloma of the rectum. Rocky Mt Med J. 1961 Jan;58:34–36. [PubMed] [Google Scholar]
  21. Nordahl D. L., Siber F. J., Robbins A. H., O'Hara E. T. Nonfatal venous intravasation from the site of diverticulitis during barium enema examination. Am J Dig Dis. 1973 Mar;18(3):253–256. doi: 10.1007/BF01071980. [DOI] [PubMed] [Google Scholar]
  22. Noveroske R. J. Barium sulfate into the heart from extraperitoneal rupture of the rectosigmoid. J Indiana State Med Assoc. 1970 Jan;63(1):32–33. [PubMed] [Google Scholar]
  23. Prout B. J., Datta S. B., Wilson T. S. Colonic retnetion of barium in the elderly after barium-meal examination and its treatment with lactulose. Br Med J. 1972 Dec 2;4(5839):530–533. doi: 10.1136/bmj.4.5839.530. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Rand A. A. Barium granuloma of the rectum. Dis Colon Rectum. 1966 Jan-Feb;9(1):20–32. doi: 10.1007/BF02617492. [DOI] [PubMed] [Google Scholar]
  25. Reitamo J., Häyry P., Nordling S. Nonperforating extrarectal escape of barium complicating barium enema: report of a case. Dis Colon Rectum. 1971 Sep-Oct;14(5):381–385. doi: 10.1007/BF02553428. [DOI] [PubMed] [Google Scholar]
  26. SWARTZ L. W. Barium granuloma of the rectum following barium enema; case report. Am J Surg. 1955 Nov;90(5):802–804. doi: 10.1016/0002-9610(55)90703-0. [DOI] [PubMed] [Google Scholar]
  27. SZUNYOGH B. Enema injuries. Am J Proctol. 1958 Aug;9(4):303–308. [PubMed] [Google Scholar]
  28. Weitzner S., Law D. H. Barium granuloma of the rectum. Am J Dig Dis. 1972 Jan;17(1):17–22. doi: 10.1007/BF02239254. [DOI] [PubMed] [Google Scholar]

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