Barium-induced intestinal obstruction: a case report and literature review

Objective: The clinical use of barium can result in barium-induced intestinal obstructions. The aim of this report is to address the factors related to barium-induced intestinal obstructions and suitability of patients for treatment. Methods: One case of barium obstruction admitted to the Emergency Department of our hospital is reported. A search of PubMed and MEDLINE from 1980-2016 identified 19 similar cases concerning barium-induced intestinal obstruction, which are systematically reviewed. Results: Four patients recovered after conservative treatment, four patients were treated by colonoscopic litholysis, and another 11 patients received surgery after ineffective conservative treatment or acute abdominal complications. Conclusions: It is important to weigh the advantages and disadvantages of a barium examination for groups at high-risk for intestinal obstruction. If conservative treatment is ineffective, it is necessary to carry out a surgical procedure.