Whitney L. Reid DO , Jesse L. Cox MD, PhD , Karen L. Pennington , Philip McCarthy DO , Vishal M. Kothari MD, FACS , Samuel M. Cohen MD, PhD
{"title":"Small bowel obstruction exacerbated by barium sulfate administration","authors":"Whitney L. Reid DO , Jesse L. Cox MD, PhD , Karen L. Pennington , Philip McCarthy DO , Vishal M. Kothari MD, FACS , Samuel M. Cohen MD, PhD","doi":"10.1016/j.ehpc.2019.200315","DOIUrl":null,"url":null,"abstract":"<div><p>Small bowel obstruction (SBO) is a commonly encountered medical condition, typically a result of extrinsic causes, including post-operative adhesions. Less frequently, intrinsic and intraluminal factors may cause obstruction. Barium sulfate is a widely used contrast agent for radiography of suspected SBO, though it is rarely encountered in histologic sections and is an uncommon cause of SBO. Here, we present a case of a patient with several risk factors for SBO who received routine diagnostic imaging. Surgical resection revealed gross adhesions and histology showed intraluminal foreign material, determined to be barium sulfate by scanning electron microscopy with energy dispersive x-ray spectroscopy.</p></div>","PeriodicalId":38075,"journal":{"name":"Human Pathology: Case Reports","volume":"17 ","pages":"Article 200315"},"PeriodicalIF":0.0000,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehpc.2019.200315","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Human Pathology: Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214330019300288","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2
Abstract
Small bowel obstruction (SBO) is a commonly encountered medical condition, typically a result of extrinsic causes, including post-operative adhesions. Less frequently, intrinsic and intraluminal factors may cause obstruction. Barium sulfate is a widely used contrast agent for radiography of suspected SBO, though it is rarely encountered in histologic sections and is an uncommon cause of SBO. Here, we present a case of a patient with several risk factors for SBO who received routine diagnostic imaging. Surgical resection revealed gross adhesions and histology showed intraluminal foreign material, determined to be barium sulfate by scanning electron microscopy with energy dispersive x-ray spectroscopy.
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