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Acta Scientific Clinical Case Reports

Case ReportVolume 3 Issue 11

Rare Case of Fatal Aspiration with Barium Sulfate

Olga S Lavrukova1*, Аleksei М Kobzev2, Aleksandr V Zablotskii2

1Petrozavodsk State University, Russian Federation
2Forensic Medical Expertise Bureau of the Republic of Karelia, Russian Federation

*Corresponding Author: Olga S Lavrukova, Doctor of Sciences (Med.), Associate Professor, Department of Anatomy, Topographic Anatomy and Operative Surgery, Pathological Anatomy, Forensic Medicine Petrozavodsk State University, Petrozavodsk, Republic of Karelia, Russian Federation.

Received: September 12, 2022; Published: October 25, 2022

Abstract

Relevance: In the domestic specialized literature, information on cases of fatal aspiration by barium sulfate is scarce and fragmentary; a small number of works are devoted to them.

Description of the Expert Case: A patient suffering from Alzheimer's disease and dysphagia aspirated a large amount of barium sulfate during a medical procedure. Immediately after the procedure, she died. During the forensic medical examination of the corpse, the presence of a suspension of barium sulfate in the lumens of the larynx, trachea, main, lobar, segmental, lobular bronchi and in the lumen of most alveoli was established, signs of rapid death.

Conclusion: This observation supplements the information about rare cases of aspiration asphyxia with barium sulfate. Factors that may affect the outcome of aspiration are the patient's previous clinical condition and the volume and concentration of barium sulfate used.

Keywords: Barium Sulfate; Aspiration; Alzheimer's Disease; Dysphagia

Bibliography

  1. Chiu CY., et al. “Massive aspiration of barium sulfate during an upper gastrointestinal examination in a child with dysphagia”. International Journal of Pediatric Otorhinolaryngology4 (2005): 541-544.
  2. Hamid M., et al. “An Esophagogram or Tracheobronchogram? A Review of Barium Sulfate Aspiration”. Journal of Investigative Medicine High Impact Case Reports 6 (2018): 2324709618802872.
  3. Schulz F., et al. “Tödliche Aspiration von Bariumsulfat”. Rechtsmedizin 8 (1998): 223-225.
  4. Liu JF., et al. “Barium sulphate aspiration during upper gastrointestinal examinations: two cases report and review of the literature”. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery17 (2016): 1363-1368.
  5. Kaira K., et al. “Barium sulphate aspiration”. Lancet9452 (2004): 2220.
  6. Jackson M., et al. “Barium Aspiration in an Infant: A Case Report and Review of Management”. Frontiers in Pediatrics 2 (2014): 37.
  7. Zaheen A and Stanbrook MB. “Accidental barium bronchography”. Canadian Medical Association Journal18 (2017): E670.

Citation: Olga S Lavrukova., et al. “Rare Case of Fatal Aspiration with Barium Sulfate". Acta Scientific Clinical Case Reports 3.11 (2022): 07-09.

Copyright: © 2022 Olga S Lavrukova., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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