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British Journal of Radiology (2006) 79, e32-e35
© 2006 British Institute of Radiology
doi: 10.1259/bjr/57839881
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Case report

Intravasation of barium sulphate at barium enema examination

J S White, BMedSci(Hons), PhD, FRCS R T Skelly, MB, FRCS K R Gardiner, MD, MCh, FRCS J Laird, FRCR and M C Regan, MD, FRCS

Correspondence: Mr Jonathan S White, Royal Alexandra Hospital, 10240 Kingsway, Edmontion, AB, T5H 3V, Canada

We report a case of venous intravasation of barium sulphate occurring during a routine barium enema examination for investigation of rectal bleeding. The patient suffered a cardiopulmonary arrest, but made a full recovery after organ support in intensive care. Review of radiographs from the examination showed intravasated barium in pelvic vessels. We review the literature on this rare, but serious, complication of barium enema examination and suggest measures by which intravasation can be prevented.






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