Resumo
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.
Barium; Peritonitis; Peptic ulcer
Barium; Peritonitis; Peptic ulcer
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 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
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.
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Full text available only in PDF format.
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.
- 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.
- 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.
- 3. Grobmyer 111 AJ, Kerlan RA, Peterson CM Dragstedt Ii LR. Barium peritonitis. Am Surg 1984;50: 116-120.
- 4.Gardiner H, Miller RE. Barium peritonitis - A new therapeutic approach. Am J Surg 1973;125:350-352.
- 5. Westfall RH, Nelson RH, Musselman MM. Barium peritonitis. Am J Surg 1966;112:760-763.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
24 Nov 2009 -
Data do Fascículo
Out 1999
Histórico
-
Aceito
09 Ago 1999 -
Recebido
11 Jan 1999
