Barium granuloma of the rectum
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Barium granuloma of the rectum is reviewed. Three additional patients are reported, one of whom had a concomitant rectal carcinoma. Barium granuloma of the rectum is a nonspecific ulcerative or polypoid lesion, the true nature of which may be recognized only after histopathologic examination. The age of the lesion is well correlated with microscopic findings. The acute phase occurs during the first week and, thereafter, a chronic inflammatory reaction with macrophages and foreign body giant cells ensues. The probable pathogenesis of rectal barium granuloma is laceration of the mucosa by the enema tip or proctoscope, or overdistension of the rectum by a Bardex balloon. Serial proctoscopic examination indicates apparent spontaneous healing of the lesion 3–6 weeks after biopsy.
KeywordsPublic Health Carcinoma Barium Acute Phase Foreign Body
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