硫酸钡灌肠造影致直肠穿孔1例
Chinese Journal of Coloproctology（2011）
Abstract
患者女,60岁.因排便困难伴残便感5年入院,行排粪造影检查,稀硫酸钡500ml灌肠时患者感下腹部胀痛,并向会阴部放射,盆腔摄X线正位片检查见盆腔内有一10cm×8cm的不透光影,肠镜检查示结肠内无钡剂,直肠内有少量钡剂,齿状线上6cm直肠左侧壁有一0.5cm×0.5cm创口,仓口内可见白色钡剂.诊断为硫酸钡灌肠致直肠穿孔,大量钡剂直肠外存留.肠穿孔后4h开腹清创,开腹后见腹腔内无钡剂,盆腔腹膜外饱满、充血.
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