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Case Reports in Radiology
Volume 2011 (2011), Article ID 193891, 3 pages
http://dx.doi.org/10.1155/2011/193891
Case Report

Prolonged Intestinal Mucosal Barium Coating due to Ischemic Necrosis

Radiology Department, InSight Clinical Imaging, 3/7 Wise Street, Joondalup, WA 6027, Australia

Received 7 June 2011; Accepted 11 July 2011

Academic Editors: P. García González, L. Lampmann, D. P. Link, and A. Matsuno

Copyright © 2011 Vincent H. S. Low. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of a 63-year-old man with small bowel ischemia six weeks after transplantation surgery is presented. Plain abdominal radiograph obtained several days after ingestion of barium shows the sign of prolonged barium coating indicating severe mucosal damage. Abdominal CT scan demonstrates small bowel wall thickening as well as pockets of peritoneal fluid collections. Most critically, CT allows visualization of subtle traces of dense barium within the dependent portions of this fluid indicating bowel perforation.