J Korean Radiol Soc.  1995 Jul;33(1):139-141.

Colonic Perforation during Gastrografin Reduction of Intussusception in Children: Two Cases Reports

• Kim YH
• Kim JS
• Cha SJ
• Hur G
• Suh JW

Abstract

In the intestinal perforation during hydrostatic reduction for intussusception, the diluted isotonic Gastrografin may prevent body fluid shifting to peritoneal space, and granulomatous reaction resulting in intestinal obstruction, which can be induced by Barium on the peritoneal surface. We have experienced two perforations from 563 Gastrografin reductions during the last five years. One of the perforated cases had no complication on one year follow up after ileocecectomy, but the other, who was in the state of shock before the reduction, died at 133rd day after the operation. The cause of death was aspiration during the feeding. We report the above two cases of intestinal perforation by Gastrografin reduction without evidence of fatal complication.

MeSH Terms

Barium
Body Fluids
Cause of Death
Child*
Colon*
Diatrizoate Meglumine*
Follow-Up Studies
Humans
Intestinal Obstruction
Intestinal Perforation
Intussusception*
Shock
Barium
Diatrizoate Meglumine