Barium Granuloma of the Rectum: Case Report

Dae Jin Kim, Se Hyung Kim, Ah Young Jeoung, Kyoung Ho Lee, Byung Ihn Choi, Joon Koo Han
2003 Journal of the Korean Radiological Society  
When barium extravasates into tissue during radiologic procedures such as barium enema, it is uptaken by macrophages and forms a granuloma. The result of this is a tumorous mass, fibrosis, and stricture (1), and a cancerous condition is sometimes wrongly suspected. In almost all cases of barium granuloma there is a history of barium enema, a fact which is helpful in making the correct diagnosis. We report a case of barium granuloma in which there was no history of barium enema or apparent
more » ... trauma. Case Report A 47-year-old man who for many years had suffered occasional left flank pain due to a ureter stone, was referred for further evaluation of a rectal mass after an attack of colicky pain. For urologic evaluation, KUB (Fig. 1A ) and intravenous urography (IVU) were performed at a local hospital; a highly attenuated pelvic lesion, about 1 cm in diameter and with fine strands around it, was found to be present.
doi:10.3348/jkrs.2003.49.1.43 fatcat:gqucr3yoh5dvpkg74pt4irxpr4