Colonic chemobezoar--intestinal obstruction due to barium inspissation.

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1997-07-01
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A 72-year-old man presented with constipation of 45 days' duration, with history suggestive of recurrent episodes of subacute intestinal obstruction relieved by passage of fluid and flatus; he had noticed an abdominal lump 30 days prior. Examination revealed a lump corresponding to the contours of the entire large intestine. X-ray showed barium outlining the colon. Enquiry revealed that he had undergone a barium enema study 10 days prior to appearance of the lump. The diagnosis of barium inspissation was confirmed at laparotomy; total colectomy with ileo-rectal anastomosis was done.
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Pai ML, Acharya BS, Bapat RD. Colonic chemobezoar--intestinal obstruction due to barium inspissation. Indian Journal of Gastroenterology. 1997 Jul; 16(3): 114-5