Unexpected Barium Aspiration
A barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-06-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096231181867 |
| _version_ | 1797798229714141184 |
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| author | Avinash Vangara MD Dedeepya Gullapalli MD Tuong Vi Do DO Regina Chan DO Kathleen Kalafatis DO SubramanyaShyam Ganti MD |
| author_facet | Avinash Vangara MD Dedeepya Gullapalli MD Tuong Vi Do DO Regina Chan DO Kathleen Kalafatis DO SubramanyaShyam Ganti MD |
| author_sort | Avinash Vangara MD |
| collection | DOAJ |
| description | A barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the right middle lobe that persisted on chest X-ray. A 62-year-old male with a past medical history of hypertension, long-term back pain, gastritis, and anxiety presented with the complaints of hoarseness of voice, dysphagia, and weight loss for several months. During the esophagram, the patient aspirated the barium contrast. Chest X-ray confirmed the aspiration in the right middle lobe with a tree in bud appearance suggesting involvement of bronchioles. Three months later, a repeat chest X-ray revealed residual contrast. Pulmonary complications are directly related to the amount of aspirated barium and can include hypoxia, respiratory failure, secondary aspiration pneumonia, shock, and acute respiration distress syndrome. The prognosis of a barium aspiration is dependent on the amount of barium aspirated. |
| first_indexed | 2024-03-13T04:00:23Z |
| format | Article |
| id | doaj.art-c3e2ecd14a93450996ec58e40641505a |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-03-13T04:00:23Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-c3e2ecd14a93450996ec58e40641505a2023-06-21T16:03:54ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962023-06-011110.1177/23247096231181867Unexpected Barium AspirationAvinash Vangara MD0Dedeepya Gullapalli MD1Tuong Vi Do DO2Regina Chan DO3Kathleen Kalafatis DO4SubramanyaShyam Ganti MD5Internal Medicine Residency Program, Appalachian Regional Healthcare, Harlan, KY, USAInternal Medicine Residency Program, Appalachian Regional Healthcare, Harlan, KY, USAAscension Saint Thomas Rutherford, Murfreesboro, TN, USADepartment of Physical Medicine and Rehabilitation, Albany Medical Center, Albany, NY, USADeBusk College of Osteopathic Medicine, Lincoln Memorial University, Harrogate, TN, USAInternal Medicine Residency Program, Appalachian Regional Healthcare, Harlan, KY, USAA barium esophagram is a diagnostic test used for the evaluation of dysphagia. However, this test has the potential risk for aspiration of the barium contrast. Barium aspiration typically localizes to the right lower lobe or left lingular lobe. We present a case of barium aspiration localized to the right middle lobe that persisted on chest X-ray. A 62-year-old male with a past medical history of hypertension, long-term back pain, gastritis, and anxiety presented with the complaints of hoarseness of voice, dysphagia, and weight loss for several months. During the esophagram, the patient aspirated the barium contrast. Chest X-ray confirmed the aspiration in the right middle lobe with a tree in bud appearance suggesting involvement of bronchioles. Three months later, a repeat chest X-ray revealed residual contrast. Pulmonary complications are directly related to the amount of aspirated barium and can include hypoxia, respiratory failure, secondary aspiration pneumonia, shock, and acute respiration distress syndrome. The prognosis of a barium aspiration is dependent on the amount of barium aspirated.https://doi.org/10.1177/23247096231181867 |
| spellingShingle | Avinash Vangara MD Dedeepya Gullapalli MD Tuong Vi Do DO Regina Chan DO Kathleen Kalafatis DO SubramanyaShyam Ganti MD Unexpected Barium Aspiration Journal of Investigative Medicine High Impact Case Reports |
| title | Unexpected Barium Aspiration |
| title_full | Unexpected Barium Aspiration |
| title_fullStr | Unexpected Barium Aspiration |
| title_full_unstemmed | Unexpected Barium Aspiration |
| title_short | Unexpected Barium Aspiration |
| title_sort | unexpected barium aspiration |
| url | https://doi.org/10.1177/23247096231181867 |
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