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KMID : 0359020110430010038
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.43 No. 1 p.38 ~ p.41
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A Case of Barium Appendicitis after a Small Bowel Series
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Yun Ki-Ho
Yang Hyeon-Woong
Park Se-Young
Yoo Young-Wook
Na Seung-Yeon
Lee Young-Woo
Cha Sang-Woo
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Abstract
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Barium appendicitis is a rare complication that occurs due to barium retention in the appendix after a barium study. It is believed that retained barium in the appendix forms a barium-coated fecalith and causes barium appendicitis. A 19-year-old man visited the hospital due to melena. He underwent an endoscopy and a colonoscopy but no bleeding focus was discovered. Next, a small bowel series was performed to confirm the absence of small bowel bleeding. Two weeks later, he felt right lower quadrant pain in his abdomen and developed a fever. A blood test revealed an elevated white blood cell count. A plain abdominal radiograph indicated retained barium in the appendix. A computed tomography scan revealed a dilated barium filled appendix. Thus, the pain was thought to caused by barium retention in the appendix that precipitated acute appendicitis. He underwent an appendectomy and healed well without complications.
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KEYWORD
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Barium appendicitis, Barium, Acute appendicitis, Small bowel series
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