Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 38-41.
소장 조영술 후 발생한 바륨충수염 1예
윤기호ㆍ양현웅ㆍ박세영ㆍ유영욱ㆍ나승연ㆍ이영우ㆍ차상우
을지대학교 의과대학 내과학교실
A Case of Barium Appendicitis after a Small Bowel Series
Ki Ho Yun, M.D., Hyeon Woong Yang, M.D., Se Young Park, M.D., Young Wook Yoo, M.D., Seung Yeon Na, M.D., Young Woo Lee, M.D. and Sang Woo Cha, M.D.
Department of Internal Medicine, Eulji University College of Medicine, Daejeon, Korea
Abstract
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. (Korean J Gastrointest Endosc 2011;43:38-41)
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