Naslov
Elderly woman with abdominal pain

Autori
Augustin, Goran

Izvornik
Annals of emergency medicine (0196-0644) 55 (2010), 4;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, slike u medicini, stručni

Ključne riječi
secondary pneumatosis intestinalis

Sažetak
An 87-year-old woman presented with acute onset of diffuse abdominal pain, chills, and fever up to 38.5°C (101.3 °F), with 2-day history of vomiting and diarrhea without blood. She had lost 5 kg during the last 3 months. C-reactive protein level was 327 mg/L. The diagnosis was secondary pneumatosis intestinalis. Abdominal radiograph showed dilated loops of small and large bowel, and multislice computed tomography (CT) delineated an infiltrative and partially obstructive process of hepatic flexure of the colon with gas in the bowel wall, suggesting bowel ischemia. CT also showed intrahepatic portal venous gas, suggesting advanced mesenteric ischemia. Exploration confirmed preoperative findings of intestinal pneumatosis and infiltrative process of the colon with peritoneal carcinomatosis. Loop ileostomy was made but intestinal ischemia progressed, with evident stomal necrosis. The patient died after 3 days.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA