• Yixing Lu, Lixian Mo, Junhong Chen, and Wei Peng.
• Department of Anesthesiology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
• Medicine (Baltimore). 2024 Apr 26; 103 (17): e37926e37926.

RationaleBarium 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 ConcernsA 3-month-old infant was diagnosed with multiple organ failure after severe barium peritonitis.DiagnosisMultiple organ dysfunction is associated with barium peritonitis.InterventionsThe 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.OutcomesThe patient experienced clinical death after treatment and resuscitation was unsuccessful.LessonsBarium 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.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

18 keywords...

hide…