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Pediatric radiology · Jan 1993
Case ReportsPerforation associated with barium enema in acute appendicitis.
- N Shust, C E Blane, and K T Oldham.
- Department of Radiology, University of Michigan Hospitals, Ann Arbor 48109-0252.
- Pediatr Radiol. 1993 Jan 1; 23 (4): 289-90.
AbstractA child with the suspected diagnosis of atypical acute appendicitis underwent a diagnostic barium enema. The study was complicated by perforation with leakage of a large amount of barium into the peritoneal cavity. The complex hospital course that resulted has prompted us to reevaluate the barium enema in the diagnosis of appendicitis and review the literature for contraindications. We conclude that this particular complication is extremely rare and that barium enema still has a part to play in some patients where the clinical diagnosis is uncertain.
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