Double-contrast barium enema Double-contrast barium enema A double-contrast barium enema is a form of contrast radiography in which x-rays of the colon and rectum are taken using two forms of contrast to make the structures easier to see. A liquid containing barium (that is, a radiocontrast agent) is put into the rectum. Barium is a silver-white metallic compound that outlines the colon and rectum on an x-ray and helps show abnormalities. Air is also put into the rectum and colon to further enhance the x-ray. Double-contrast barium enemas are less invasive than a colonoscopy and have comparatively fewer issues in a viable large
Sigmoid colon is completely surrounded by peritoneum (and thus is not retroperitoneal), which forms a mesentery (sigmoid mesocolon), which diminishes in length from the center toward the ends of the loop, where it disappears, so that the loop is fixed at its junctions with the iliac colon and rectum, but enjoys a considerable range of movement in its central portion. Pelvic splanchnic nerves are the primary source for parasympathetic innervation. Lumbar splanchnic nerves provide sympathetic innervation via the inferior mesenteric ganglion. Behind the sigmoid colon are the external iliac vessels, overy, obturator nerve, the left Piriformis, and left sacral plexus of nerves.