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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Rev. Col. Bras. Cir. vol.26 no.5 Rio de Janeiro Sept./Oct. 1999

http://dx.doi.org/10.1590/S0100-69911999000500011 

RELATOS DE CASOS

 

Peritonite por bário

 

Barium peritonitis

 

 

Gerson Alves Pereira Júnior, ACBC-SPI; Thiago Florentino LascalaII; José Ivan de Andrade, TCBC-SPIII

IMédico Assistente da Unidade de Terapia Intensiva da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP. Pós-graduando do Departamento de Cirurgia, Ortopedia e Traumatologia
IIGraduando do 4º ano da Faculdade de Medicina de Ribeirão Preto - USP e Monitor da Disciplina de Terapia Intensiva do Departamento de Cirurgia, Ortopedia e Traumatologia
IIIProfessor Doutor do Departamento de Cirurgia, Ortopedia e Traumatologia

Endereço para correspondência

 

 


ABSTRACT

We report a case of a 49 years-old man who underwent a barium meal examination for an epigastric pain. A perforated gastric ulcer with barium extravasation into peritoneal cavity was seen on X-rays. During an emergency laparotomy, a perforated pyloric ulcer was noted, along with barium contamination in the peritoneal cavity. The ulcer was closed with an omental patch and an extensive peritoneal lavage with saline was performed. During the postoperative period, the patient developed signs of peritonitis and underwent a new laparotomy was at the 9th day showing a subfrenic abscess with a large barium contamination. The patient presented septic shock and multiple organ failure. dying on the 21th day.

Key words: Barium; Peritonitis; Peptic ulcer.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Rosenthal E. Roentgenologisch beobachlete Magenperforation. Bel. Klin. Wchnschr. 1916;53:945. Citado por de Fonseka, C P - Acute perforation of a duodenal ulcer immediately after barium mero complicated by intestinal obstruction. Lancet 1952; 263: 1246.         [ Links ]

2. Karanikas ID, Kakoulidis DD, Gouvas ZT, et al. Barium peritonitis: a rare complication of upper gastrointestinal contrast investigation. Postgrad Med J 1997;73: 297-298.         [ Links ]

3. Grobmyer 111 AJ, Kerlan RA, Peterson CM Dragstedt Ii LR. Barium peritonitis. Am Surg 1984;50: 116-120.         [ Links ]

4.Gardiner H, Miller RE. Barium peritonitis - A new therapeutic approach. Am J Surg 1973;125:350-352.         [ Links ]

5. Westfall RH, Nelson RH, Musselman MM. Barium peritonitis. Am J Surg 1966;112:760-763.         [ Links ]

 

 

Endereço para correspondência:
Dr. Gerson Alves Pereira Júnior
Rua Iguape, 747/12-C - Jardim Paulista
14090-000 - Ribeirão Preto - SP
E-mail: gersonapj@netsite.com.br

Recebido em 11/1/99
Aceito para publicação em 9/8/99

 

 

Trabalho realizado na Unidade de Terapia Intensiva da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo.

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