Barium sulphate
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Reactions 1270 - 19 Sep 2009 S Barium sulphate Lung disorder in an infant following accidental aspiration: case report A 7-month-old boy, who had been referred for a barium meal and ultrasonography investigation for a suspected malrotation of the gut, developed a lung disorder after accidentally aspirating the barium sulphate. The boy refused to swallow the barium so his parents forced him, resulting in its aspiration [amount not stated]. He became apnoeic and cyanosed and a direct laryngoscopy showed particulate barium in his trachea. The barium was removed with suctioning and the boy was given oxygen. He regained spontaneous respiration, his oxygen saturation improved and his cyanosis resolved. However, 12 hours later, he developed a fever, tachypnoea, bilateral coarse crepitations and subcostal retractions. A chest x-ray showed dense radio-opacity in the mid and lower regions of his right lung, with miliary shadows bilaterally and hilar congestion. He gradually improved [patient outcome not clearly stated]. Author comment: Aspiration of barium "in a larger quantity could be fatal during the procedure itself, and even in the long run it can produce pneumonitis, peribronchial granulomatosis or fibrosis". Basu S, et al. Accidental aspiration of barium sulphate in an infant. Pediatric Radiology 39: 762, No. 7, Jul 2009 - India 801150683 1 Reactions 19 Sep 2009 No. 1270 0114-9954/10/1270-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved
Transcript of Barium sulphate
Reactions 1270 - 19 Sep 2009
SBarium sulphate
Lung disorder in an infant following accidentalaspiration: case report
A 7-month-old boy, who had been referred for a bariummeal and ultrasonography investigation for a suspectedmalrotation of the gut, developed a lung disorder afteraccidentally aspirating the barium sulphate.
The boy refused to swallow the barium so his parentsforced him, resulting in its aspiration [amount not stated].He became apnoeic and cyanosed and a directlaryngoscopy showed particulate barium in his trachea.
The barium was removed with suctioning and the boywas given oxygen. He regained spontaneous respiration,his oxygen saturation improved and his cyanosis resolved.However, 12 hours later, he developed a fever,tachypnoea, bilateral coarse crepitations and subcostalretractions. A chest x-ray showed dense radio-opacity inthe mid and lower regions of his right lung, with miliaryshadows bilaterally and hilar congestion. He graduallyimproved [patient outcome not clearly stated].
Author comment: Aspiration of barium "in a largerquantity could be fatal during the procedure itself, and evenin the long run it can produce pneumonitis, peribronchialgranulomatosis or fibrosis".Basu S, et al. Accidental aspiration of barium sulphate in an infant. PediatricRadiology 39: 762, No. 7, Jul 2009 - India 801150683
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Reactions 19 Sep 2009 No. 12700114-9954/10/1270-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved
