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In a message dated 12/31/05 11:27:25 AM Eastern Standard Time,
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1. Why did barium stop in the stomach area.  It never went thru the
intestine and out the hole.
 
**With pain/working on peritonitis, sometimes the intestinal tract stops
moving, that would be my suspicion here.  The other thing that I have
seen has been inflammation enough to cause swelling to keep the pylorus
closed and stomach contents from emptying.**
 
 
As of today, he is passing the barium in his stool.
 
2. How did he get this hole in his intestine.  This was a good size
hole/tear.  bigger that a pin hole.  there was no trauma/scraping of
the inside of the intestine to make you think that a foreign object had
gone thru.  There was no foreign object in his body.  This hole was way
back in the intestine.
 
**The couple of times that I have seen similar things, it has turned out
to be intestinal lymphoma.  I know of a couple of cases with just very
fragile intestines, but my experience has been cancer.  It could have
been a foreign object that sat there for a bit and weakened the wall,
then moved on, I suppose.
 
Hopefully your boy will do well.**
 
Dr. Ruth
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[Posted in FML issue 5109]