Barium Appendicitis 6 Weeks After Upper Gastrointestinal Imaging

Abstract Because barium sulfate (BaSO4) is not harmful to the mucosa, it is widely used for gastrointestinal imaging. Barium appendicitis is a very rare complication of barium meals and barium enema. We report a case of acute appendicitis associated with retained appendiceal barium. A 47-year-old man presented with right lower abdominal pain after upper gastrointestinal imaging was performed using barium 1 month earlier. The abdominal plain roentgenogram showed an area of retained barium in the right lower quadrant. Multiplanar reconstruction of computed tomography scans showed barium retention in the appendix. Emergency appendectomy was performed. A cross section of the specimen revealed the barium mass. Barium-associated appendicitis is a very rare clinical entity but we should be cautious of this uncommon disease when we encounter barium deposits in the appendix after barium examination. This report is significant because barium was identified both macroscopically and microscopically.

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Preliminary Investigation of the Diagnosis of Neonatal Congenital Small Bowel Atresia by Ultrasound

BioMed Research International ◽

10.1155/2019/7097159 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Ju Hao ◽

Yao Zhang ◽

Li Tianyu ◽

Shi Bo ◽

Feng Shu ◽

...

Keyword(s):

Small Bowel ◽

Preliminary Investigation ◽

Diagnostic Value ◽

Duodenal Atresia ◽

Intestinal Morphology ◽

Gastrointestinal Imaging ◽

Intestinal Contents ◽

Small Bowel Atresia ◽

Bowel Atresia ◽

Upper Gastrointestinal

Purpose. To assess the diagnostic value of ultrasonography (US) for congenital small bowel atresia (SBA) in neonates and their sonographic characteristics. Methods. A retrospective analysis was performed of 20 neonates who were confirmed with SBA by operation from March 2014 to January 2019. All the neonates have been scanned by US before surgery, and no one underwent barium enema or upper gastrointestinal imaging prior to US. Preoperation ultrasound characteristics about intestinal morphology and intestinal contents were collected, further to summarize the typical ultrasonic features of SBA. Results. Five cases were duodenal atresia, and 15 cases were jejuno-ileal atresia. Distended proximal intestines, liquid with tiny points in it, can be found in 20 neonates. The small intestine without any gas can be found in 20 neonates. Microcolon, no gas and other contents in it, can be found in 16 cases. Conclusions. The typical ultrasonic features of SBA include dilation in proximal intestines, small intestines, and microcolon. US is a promising modality in the clinical diagnosis of SBA.

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The Upper Gastrointestinal Imaging and the Gastrogram Using 99mTc-Pertechnetate

RADIOISOTOPES ◽

10.3769/radioisotopes.27.11_648 ◽

1978 ◽

Vol 27 (11) ◽

pp. 648-651

Author(s):

Fumio SHISHIDO ◽

Shinichi OKUYAMA ◽

Hitoshi MISHINA ◽

Tadashi TAIMA ◽

Tachio SATO ◽

...

Keyword(s):

99Mtc Pertechnetate ◽

Gastrointestinal Imaging ◽

Upper Gastrointestinal

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Closed Loop Duodenal Obstruction Secondary to Pancreatic Carcinoma: A Case Report

Combinatorial Chemistry & High Throughput Screening ◽

10.2174/1386207322666190411112412 ◽

2019 ◽

Vol 22 (4) ◽

pp. 280-286 ◽

Cited By ~ 1

Author(s):

Zhihong Shen ◽

Jianhua Yu ◽

Haijun Tang ◽

Baochun Lu

Keyword(s):

Duodenal Obstruction ◽

Closed Loop ◽

Pancreatic Tumor ◽

Uncinate Process ◽

Resection Margins ◽

Duodenal Wall ◽

Tumor Mass ◽

First Choice ◽

Gastrointestinal Imaging ◽

Upper Gastrointestinal

Background: Patients with pancreatic adenocarcinoma may develop into duodenal obstruction during the course of their disease. The diagnosis of obstruction can be generally achieved by means of imaging technologies. Case and Outcome: We reported a rare case of pancreatic tumor with duodenal obstruction accompanied by obstructive symptoms, which was finally confirmed by laparotomy. A 68-year-old man was admitted to our department with a 3-day medical history of upper abdominal pain, nausea and vomiting. The diagnosis of duodenal obstruction was established by means of various imagings including computed tomography (CT) scan, gastroscopy and upper gastrointestinal imaging. Upper gastrointestinal imaging and magnetic resonance imaging (MRI) showed extrinsic tumor mass was noted at the second and third portion of the duodenum accompanied by duodenal obstruction and dilatation, respectively. Laparotomy confirmed a tumor mass arising from the head and uncinate process of pancreas, which had invaded the second and third portions of the duodenum and caused closed loop obstruction. A pancreaticoduodenectomy (Whipple procedure) was performed followed by therapeutic trade-off according to intraoperative exploration. Postoperative histopathology revealed pancreatic tumor only infiltrated duodenal wall, while resection margins of pancreas, common bile duct and duodenum were all negative. The patient was cured and discharged home 12 days after surgery. Conclusion: The present case indicated radical operation in our study appeared to be the first choice treatment for patients with malignant duodenal obstruction.

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Sonographic Detection of Congenital Intestinal Malrotation: A Case Report

Journal of Diagnostic Medical Sonography ◽

10.1177/87564793211037612 ◽

2021 ◽

pp. 875647932110376

Author(s):

Talisha M. Hunt ◽

Paul G. Thacker

Keyword(s):

Case Report ◽

High Sensitivity ◽

Intestinal Malrotation ◽

Fetal Anomaly ◽

Pediatric Pathology ◽

Imaging Capability ◽

Additional Information ◽

Gastrointestinal Imaging ◽

Upper Gastrointestinal ◽

Sonographic Imaging

Intestinal malrotation is a rare fetal anomaly resulting from the failure of midgut rotation and fixation. Sonography is typically the first modality of choice for assessing pediatric pathology due to its high sensitivity, portability, real-time imaging capability, and non-ionizing technique; however, its role in diagnosing small bowel rotational anomalies remains limited and controversial. Fluoroscopic upper gastrointestinal imaging (UGI) is the primary diagnostic examination at most institutions. However, even on UGI, imaging findings may be equivocal. In such cases, sonography may provide additional information at facilities where it is not used as a primary diagnostic tool. This case report represents the first reported case showing how patient position is important as the typical vascular sonographic features of rotation were normal in one position but abnormal in another. In addition, this case shows how congenital intestinal malrotation was decisively diagnosed using sonographic imaging.

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The rod-to-coccoid body transformation in cultures of Helicobacter pylori

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100160686 ◽

1990 ◽

Vol 48 (3) ◽

pp. 626-627

Author(s):

A. R. Crooker ◽

W. G. Kraft ◽

T. L. Beard ◽

M. C. Myers

Keyword(s):

Helicobacter Pylori ◽

Growth Cycle ◽

Negative Bacterium ◽

Body Formation ◽

Coccoid Form ◽

Spiral Form ◽

Prolonged Culture ◽

H Pylori ◽

Upper Gastrointestinal

Helicobacter pylori is a microaerophilic, gram-negative bacterium found in the upper gastrointestinal tract of humans. There is strong evidence that H. pylori is important in the etiology of gastritis; the bacterium may also be a major predisposing cause of peptic ulceration. On the gastric mucosa, the organism exists as a spiral form with one to seven sheathed flagella at one (usually) or both poles. Short spirals were seen in the first successful culture of the organism in 1983. In 1984, Marshall and Warren reported a coccoid form in older cultures. Since that time, other workers have observed rod and coccal forms in vitro; coccoid forms predominate in cultures 3-7 days old. We sought to examine the growth cycle of H. pylori in prolonged culture and the mode of coccoid body formation.

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