دورية أكاديمية

Perforation of barium sulfate enterography in an infant: A case report.

التفاصيل البيبلوغرافية
العنوان: Perforation of barium sulfate enterography in an infant: A case report.
المؤلفون: Lu Y; Department of Anesthesiology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Mo L; Department of Pediatric Surgery, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Chen J; Department of Pathology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Peng W; Department of Anesthesiology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
المصدر: Medicine [Medicine (Baltimore)] 2024 Apr 26; Vol. 103 (17), pp. e37926.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Intestinal Perforation*/etiology , Intestinal Perforation*/diagnostic imaging , Multiple Organ Failure*/etiology, Humans ; Infant ; Fatal Outcome ; Peritonitis/etiology ; Male ; Barium Enema/adverse effects ; Barium Enema/methods ; Barium Sulfate/adverse effects ; Contrast Media/adverse effects
مستخلص: Rationale: Barium peritonitis is an inflammatory response that occurs when barium accidentally enters the abdominal cavity during a barium test. In extreme circumstances, it has the potential to harm various organs and even result in death.
Patient Concerns: A 3-month-old infant was diagnosed with multiple organ failure after severe barium peritonitis.
Diagnosis: Multiple organ dysfunction is associated with barium peritonitis.
Interventions: The infant underwent surgical intervention and received ventilator support, anti-infection therapy, myocardial nutrition, liver and kidney protection, rehydration, circulation stabilization, and other symptomatic supportive care.
Outcomes: The patient experienced clinical death after treatment and resuscitation was unsuccessful.
Lessons: Barium enema perforation complications are uncommon, but can lead to fatal injuries with a high mortality rate. This case highlights the importance of raising awareness among clinicians about the risks of gastroenterography in infants and children and actively preventing and avoiding similar serious complications. The mortality rate can be reduced by timely multidisciplinary consultation and joint management once a perforation occurs.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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المشرفين على المادة: 25BB7EKE2E (Barium Sulfate)
0 (Contrast Media)
تواريخ الأحداث: Date Created: 20240426 Date Completed: 20240426 Latest Revision: 20240510
رمز التحديث: 20240510
مُعرف محوري في PubMed: PMC11049704
DOI: 10.1097/MD.0000000000037926
PMID: 38669395
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000037926