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Anthony F. Salvo, MD; Charles W. Capron, MD; Kenneth E. Leigh, MD; Richard C. Dillihunt, MD

JAMA. 1976;235(7):749-751.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

BARIUM enema examination has had a very low complication rate, approximately two in 10,000 studies. During a 20-year period at the Columbia Presbyterian Hospital (New York), Seaman and Wells¹ found only 13 examples of perforation of the colon during barium enema examination. We have recently encountered a unique complication of the barium enema, one that has been reported only once before, to our knowledge, ie, intravasation of barium into the portal venous system. This occurred during a barium enema examination of a patient with ulcerative colitis.

Report of a Case

A 36-year-old woman had had upper gastrointestinal bleeding, thought to be from a duodenal ulcer, in 1970 and 1972; both episodes were controlled medically. The patient had a history of chronic alcoholism. Approximately one month before admission, she experienced weakness, anorexia, and nausea, and passed several black stools. She had also lost 4.5 kg (10 lb) during this month. . . . [Full Text PDF of this Article]

Author Affiliations
From the departments of radiology (Drs Salvo and Capron) and surgery (Dr Dillihunt), Maine Medical Center, Portland, and the Department of Radiology, S. D. Goodall Hospital (Dr Leigh), Sanford, Me.

Footnotes
Reprint requests to Department of Radiology, Maine Medical Center, 22 Bramhall St, Portland, ME 04102 (Dr Salvo).

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