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Related Experiment Videos

Small bowel carcinoid presenting as a barolith.

J K Regan1, H K O'Neil, R I Aizenstein

  • 1Department of Digestive and Liver Diseases, University of Illinois at Chicago 60612-0233, USA.

Clinical Imaging
|May 20, 1999
PubMed
Summary

Baroliths, rare complications of barium contrast roentgenography, typically occur in the colon. This case highlights a small bowel barolith leading to the discovery of an ileal carcinoid tumor.

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Area of Science:

  • Gastroenterology
  • Radiology
  • Oncology

Background:

  • Baroliths are infrequent complications following barium contrast roentgenography.
  • They predominantly manifest within the colon, often remaining asymptomatic.
  • Potential complications include abdominal pain, appendicitis, bowel obstruction, and perforation.

Observation:

  • This report details an atypical presentation of a barolith.
  • The barolith was identified within the lumen of the small intestine, specifically the ileum.
  • This unusual location facilitated the diagnosis of an otherwise undetected carcinoid tumor.

Findings:

  • The presence of a barolith in the small bowel is exceptionally rare.
  • The barolith served as an incidental finding, leading to the diagnosis of a small bowel carcinoid tumor.
  • This case underscores the diagnostic potential of baroliths, even in unusual locations.

Implications:

  • This case expands the known spectrum of barolith presentations.
  • It emphasizes the importance of considering baroliths in the differential diagnosis of small bowel obstruction or unexplained abdominal pain.
  • The findings highlight a unique pathway for diagnosing occult gastrointestinal tumors, such as carcinoid tumors, through radiopaque foreign bodies.

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