Conclusion
It is the authors’ belief that when the barium enema was administered inflation forced the tip of the Bardex catheter into the rectal mucosa. Rand8 believes that inflation causes high intraluminal pressure by preventing the escape of contrast media through the anus.
Apparently, this is the first reported case in which accidental introduction of barium sulfate suspension into the wall of the rectum has caused necrotizing proctitis.
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Altobelli, J.A., Yamashita, T. & Kratzer, G.L. Necrotizing proctitis caused by injection of barium into the wall of the rectum. Dis Colon Rectum 13, 333–335 (1970). https://doi.org/10.1007/BF02617257
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DOI: https://doi.org/10.1007/BF02617257