Why Does This Patient Have Acute Severe Abdominal Pain Following Barium Enema
One day following sigmoidoscopy for an anal stricture, this 61-year-old obese woman was admitted to the emergency department in shock. Earlier that morning, she had a barium enema without evidence of free air inferior to the diaphragm. Acute abdominal pain developed several hours later. Radiographs on admission revealed extravasation of barium into the peritoneal cavity. On the second hospital day,...
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