Barium Appendicitis After Upper Gastrointestinal Imaging

Nathan M. Novotny, Keith D. Lillemoe, Mark Falimirski

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Barium appendicitis (BA) is a rarely seen entity with fewer than 30 reports in the literature. However, it is a known complication of barium imaging. Objective: To report a case of BA in a patient whose computed tomography (CT) scan was initially read as foreign body ingestion. Case Report: An 18-year-old man presented with right lower quadrant pain after upper gastrointestinal imaging 2 weeks prior. A CT scan was obtained of his abdomen and pelvis that revealed a finding that was interpreted as a foreign body at the area of the terminal ileum. A plain X-ray study of the abdomen revealed radiopaque appendicoliths. Pathology confirmed the diagnosis of barium appendicitis. Conclusions: BA is a rare entity and the pathogenesis is unclear. Shorter intervals between barium study and presentation with appendicitis usually correlate with fewer complications.

Original languageEnglish
Pages (from-to)148-149
Number of pages2
JournalJournal of Emergency Medicine
Volume38
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Appendicitis
Barium
Foreign Bodies
Abdomen
Tomography
Pelvis
Ileum
Eating
X-Rays
Pathology
Pain

Keywords

  • appendicolith
  • barolith
  • UGI
  • upper gastrointestinal imaging

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Barium Appendicitis After Upper Gastrointestinal Imaging. / Novotny, Nathan M.; Lillemoe, Keith D.; Falimirski, Mark.

In: Journal of Emergency Medicine, Vol. 38, No. 2, 02.2010, p. 148-149.

Research output: Contribution to journalArticle

Novotny, Nathan M. ; Lillemoe, Keith D. ; Falimirski, Mark. / Barium Appendicitis After Upper Gastrointestinal Imaging. In: Journal of Emergency Medicine. 2010 ; Vol. 38, No. 2. pp. 148-149.
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