Abstract
Background. An upper and lower gastrointestinal (GI) series is an available and informative diagnostic test. Side effects are extremely rare. Objective. To present a case description of portal vein and liver barium embolism with a fatal outcome and explain the mechanism of its occurrence. Material and methods. The clinical manifestations, laboratory and instrumental findings, as well as autopsy of a female patient who died after lower GI radiography were analyzed. Results. To exclude intestinal obstruction, the patient underwent a barium follow through. Three days later, during X-ray computed tomography, barium and gas were detected in the inferior mesenteric vein, portal vein and its intrahepatic branches. During colonoscopy, diverticula of the sigmoid colon were detected, but the localization of the intestinalvenous fistula wasn’t determined. Conservative surgery failed and the death occurred 15 days after radiography. Conclusions. The autopsy revealed that the site of entry for the development of barium embolism as well as for gas, were diabrotic veins in peridiverticular abscesses localized in pericolic tissue.
Highlights
An upper and lower gastrointestinal (GI) series is an available and informative diagnostic test
Three days later, during X-ray computed tomography, barium and gas were detected in the inferior mesenteric vein, portal vein and its intrahepatic branches
The autopsy revealed that the site of entry for the development of barium embolism as well as for gas, were diabrotic veins in peridiverticular abscesses localized in pericolic tissue
Summary
An upper and lower gastrointestinal (GI) series is an available and informative diagnostic test. Цель исследования – представить описание случая эмболии воротной вены и печени барием с летальным исходом и объяснить механизм ее возникновения. Проанализированы клинические проявления, результаты лабораторных и инструментальных исследований, а также аутопсии пациентки, погибшей после контрастной рентгенографии кишечника.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
