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Images in Clinical Medicine
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Volume 348:1016 March 13, 2003 Number 11
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A Deadly Examination

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An 80-year-old man underwent esophagogastroduodenography with barium contrast medium to investigate long-standing dysphagia. During the examination, the patient aspirated contrast material into his lungs. Forty-eight hours later, he presented with a dry cough, fever, tachypnea, and hypotension. The chest radiograph shows massive bilateral aspiration of barium. The patient was immediately intubated, mechanically ventilated, and treated with broad-spectrum antibiotics and vasopressors. Despite aggressive medical treatment, refractory hypotension developed, and the patient died. Aspiration of large amounts of barium sulfate is an uncommon complication of radiologic studies of the upper digestive tract. The problem is generally not serious, because barium sulfate is . . . [Full Text of this Article]

 

Related Letters:

Aspiration of Barium
Whiting J., Fruchter O.
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N Engl J Med 2003; 348:2582-2583, Jun 19, 2003. Correspondence

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