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Related Experiment Videos

Pneumoperitoneum occurring during double-contrast enema.

D W Gelfand, D J Ott, N A Ramquist

    Gastrointestinal Radiology
    |August 15, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Pneumoperitoneum during double-contrast barium enema may indicate colonic rupture, with air escaping rather than barium. Caution is advised to prevent overdistension and potential colon injury.

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    Area of Science:

    • Radiology
    • Gastroenterology

    Background:

    • Double-contrast barium enema is a common diagnostic procedure.
    • Pneumoperitoneum is a potential complication.

    Observation:

    • A case of pneumoperitoneum during a double-contrast barium enema is presented.
    • Reported cases suggest air, not barium, exits the colon during rupture.

    Findings:

    • Colonic rupture during double-contrast barium enema is characterized by air egress.
    • High pressures from bulb-type inflators may contribute to rupture.

    Implications:

    • This observation aids in diagnosing colonic perforation during barium enema.
    • Recommendations include avoiding overdistension to minimize rupture risk.