We report a case of barium intravasation due to misplacement of the ca
theter tip during a barium enema examination, leading to vaginal lacer
ation and barium sequestration within the reticuloendothelial system o
f a 57-year-old woman who survived this potentially fatal event. The r
adiologic appearance on CT, sonography, MR, and plain radiography is p
resented. Computed tomography demonstrated barium sequestered by the l
iver, spleen, and renal cortex. The portal veins were seen as branchin
g radiolucent densities superimposed on a dense parenchymal background
.