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  1 / 7802 MEDLINE  
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[PMID]:29240475
[Au] Autor:Theofanis G; Saedon M; Kho SH; Mulita F; Germanos S; Leung E
[Ad] Endereço:Resident Surgeon, General University Hospital of Patras, Rio, Greece.
[Ti] Título:Avoiding emergency stoma surgery with the use of sugar.
[So] Source:Br J Nurs;26(22):S24-S26, 2017 Dec 14.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:George Theofanis, Mahmud Saedon, Soo Hua Kho, Francesk Mulita, Stylianos Germanos and Edmund Leung discuss the use of sugar as an aid to reducing a stomal prolapse.
[Mh] Termos MeSH primário: Colostomia/efeitos adversos
Açúcares da Dieta/administração & dosagem
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/prevenção & controle
[Mh] Termos MeSH secundário: Administração Tópica
Idoso
Edema/prevenção & controle
Tratamento de Emergência
Seres Humanos
Masculino
Prolapso
Açúcares
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dietary Sugars); 0 (Sugars)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.22.S24


  2 / 7802 MEDLINE  
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[PMID]:29390409
[Au] Autor:Li Z; Su Y; Wang X; Yan H; Sun M; Shu Z
[Ad] Endereço:Department of Gastrointestinal Colorectal and Anal surgery.
[Ti] Título:Hepatic portal venous gas associated with colon cancer: A case report and literature review.
[So] Source:Medicine (Baltimore);96(50):e9352, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Hepatic portal venous gas (HPVG) is a very rare radiological finding that occurs when gas enters the portal venous system. HGVG can be caused by various diseases, with the most common being intestinal ischemia or necrosis. While there are few reports of HPVG associated with colon cancer, we report a case of HPVG associated with advanced colon cancer. DIAGNOSIS: The diagnosis of this patient was HPVG caused by colon cancer. INTERVENTIONS: Left colon cancer resection, pancreatic tail resection, splenectomy, and transverse colostomy were performed. OUTCOMES: The patient recovered well, and postoperative paraffin pathology confirmed that the resected tumor was colon cancer. LESSONS: Abdominal computed tomography is an effective method for diagnosing and monitoring HPVG. Klebsiella pneumonia is a potential gas-producing microorganism associated with HPVG, which may be confirmed by Blood culture or drainage culture. The prognosis of HPVG is closely related to the underlying pathology. Surgery should be performed early when there are signs of intestinal ischemia, necrosis, or perforation.
[Mh] Termos MeSH primário: Neoplasias do Colo/complicações
Neoplasias do Colo/cirurgia
Embolia Aérea/etiologia
Embolia Aérea/cirurgia
Veia Porta
[Mh] Termos MeSH secundário: Idoso
Colostomia
Embolia Aérea/diagnóstico por imagem
Seres Humanos
Masculino
Pâncreas/cirurgia
Esplenectomia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009352


  3 / 7802 MEDLINE  
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[PMID]:29350896
[Au] Autor:Milickovic M; Savic D; Stankovic N; Vukadin M; Bozic D
[Ti] Título:Transverse colon volvulus in neurologicaly imparied patient as an emergency surgical condition: A case report.
[So] Source:Vojnosanit Pregl;74(1):78-80, 2017 Jan.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Transverse colon volvulus is an uncommon cause of bowel obstruction in general. Predisposing factors are mental retardation, dysmotility disorders, chronic constipation and congenital megacolon. Case report: We presented transverse colon volvulus in a 16-year-old boy with cerebral palsy. Chronic constipation in neurologicaly impaired patient was a risk factor predisposing to volvulus. The patient was admitted to the hospital with enormous abdominal distension and acute respiratory insufficiency. A boy was emergently taken to the operating room for exploratory laparotomy. During the surgery, a 360º clockwise volvulus of the transverse colon was found. After reduction of volvulus, an enormous transverse colon was resected and colostomy was formed. In the postoperative period, despite the good functioning of stoma and intraabdominal normotension, numerous and long lasting respiratory problems developed. The patient was discharged from our institution after 8 months. Conclusion: Though very rare in pediatric group, the possibility of a transverse colon volvulus must be considered in the differential diagnosis of acute large bowel obstruction.
[Mh] Termos MeSH primário: Paralisia Cerebral/complicações
Colectomia
Colo Transverso/cirurgia
Doenças do Colo/cirurgia
Colostomia
Volvo Intestinal/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Paralisia Cerebral/diagnóstico
Paralisia Cerebral/fisiopatologia
Colo Transverso/diagnóstico por imagem
Doenças do Colo/complicações
Doenças do Colo/diagnóstico por imagem
Emergências
Seres Humanos
Volvo Intestinal/complicações
Volvo Intestinal/diagnóstico por imagem
Tempo de Internação
Masculino
Complicações Pós-Operatórias/etiologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150911015M


  4 / 7802 MEDLINE  
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[PMID]:29384913
[Au] Autor:Sun X; Wu S; Xie T; Zhang J
[Ad] Endereço:Department of Dermatology.
[Ti] Título:Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen: A case report.
[So] Source:Medicine (Baltimore);96(52):e9370, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: An open abdomen complicated with small-bowel fistulae becomes a complex wound for local infection, systemic sepsis and persistent soiling irritation by intestinal content. While controlling the fistulae drainage, protecting surrounding skin, healing the wound maybe a challenge. PATIENT CONCERNS: In this paper we described a 68-year-old female was admitted to emergency surgery in general surgery department with severe abdomen pain. Resection part of the injured small bowel, drainage of the intra-abdominal abscess, and fashioning of a colostomy were performed. DIAGNOSES: She failed to improve and ultimately there was tenderness and lot of pus under the skin around the fistulae. The wound started as a 3-cm lesion and progressed to a 6 ×13  (78 cm) around the stoma. INTERVENTIONS: In our case we present a novel device for managing colostomy wound combination with negative pressure wound therapy. OUTCOMES: This tube allows for an effective drainage of small-bowel secretion and a safe build-up of granulation tissue. Also it could be a barrier between the bowel suction point and foam. LESSONS: Management of open abdomen wound involves initial dressing changes, antibiotic use and cutaneous closure. When compared with traditional dressing changes, the NPWT offers several advantages including increased granulation tissue formation, reduction in bacterial colonization, decreased of bowel edema and wound size, and enhanced neovascularization.
[Mh] Termos MeSH primário: Técnicas de Fechamento de Ferimentos Abdominais/instrumentação
Colostomia
Intestino Delgado/cirurgia
Tratamento de Ferimentos com Pressão Negativa
Peritonite/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Intestino Delgado/lesões
Peritonite/etiologia
Peritonite/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009370


  5 / 7802 MEDLINE  
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[PMID]:29180180
[Au] Autor:Khan M; Jehan F; O'Keeffe T; Pandit V; Kulvatunyou N; Tang A; Gries L; Joseph B
[Ad] Endereço:Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, University of Arizona, Tucson, Arizona.
[Ti] Título:Primary repair for pediatric colonic injury: Are there differences among adult and pediatric trauma centers?
[So] Source:J Surg Res;220:176-181, 2017 Dec.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Management of colonic injuries (colostomy [CO] versus primary anastomosis [PA]) among pediatric patients remains controversial. The aim of this study was to assess outcomes in pediatric trauma patient with colonic injury undergoing operative intervention. METHODS: The National Trauma Data Bank (2011-2012) was queried including patients with isolated colonic injury undergoing exploratory laparotomy with PA or CO with age ≤18 y. Missing value analysis was performed. Patients were stratified into two groups: PA and CO. Outcome measures were mortality, in-hospital complications, and hospital length of stay. Multivariate regression analysis was performed. RESULTS: A total of 1151 patients included. Mean ± standard deviation age was 11.61 ± 2.8 y, and median [IQR] Injury Severity Score was 12 [8-16]; 39% (n = 449) of the patients had CO, and 35.6% (n = 410) were managed in pediatric trauma centers (PC). Patients with CO had a higher Injury Severity Score (P < 0.001), a trend toward lower blood pressure (P = 0.40), and an older age (P < 0.001). There was no difference in mortality between the PA and CO groups. However, patients who underwent PA had a shorter length of stay (P < 0.001) and lower in-hospital complications (P < 0.001). A subanalysis shows that, after controlling for all confounding factors, patients managed in PC were 1.2 times (1.2 [1.1-2.1], P = 0.04) more likely to receive a CO than those patients managed in adult trauma centers (AC). Moreover, there was no difference in mortality between the AC and the PC (P = 0.79). CONCLUSIONS: Our data demonstrate no difference in mortality in pediatric trauma patients with colonic injury who undergo primary repair or CO. However, adult trauma centers had lower rates of CO performed as compared to a similar cohort of patients managed in pediatric trauma centers. Further assessment of the reasons underlying such differences will help improve patient outcomes.
[Mh] Termos MeSH primário: Traumatismos Abdominais/cirurgia
Colo/lesões
Colostomia/estatística & dados numéricos
Medicina de Emergência Pediátrica/estatística & dados numéricos
Centros de Traumatologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Anastomose Cirúrgica/estatística & dados numéricos
Criança
Colo/cirurgia
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  6 / 7802 MEDLINE  
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[PMID]:29069019
[Au] Autor:Muradbegovic M; St-Amour P; Martin D; Petermann D; Benabidallah S; Di Mare L
[Ad] Endereço:aDepartment of General and Visceral Surgery, EHC Hospital, Morges b Department of Visceral Surgery, University Hospital CHUV, Lausanne cUnilabs, Department of Pathology, Lausanne, Switzerland.
[Ti] Título:End-colostomy diverticulitis with parastomal phlegmon: A case report.
[So] Source:Medicine (Baltimore);96(43):e8358, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis. PATIENT CONCERNS: The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon. DIAGNOSES: Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula. INTERVENTIONS: A two-step treatment was decided: first a nonoperative treatment was initiated with 2 weeks antibiotics administration, followed by, 6 weeks after, a segmental resection of the terminal portion of the colon with redo of a new colostomy by direct open approach. OUTCOMES: Patient was discharged on the second postoperative day without complications. Follow-up at 2 weeks revealed centimetric dehiscence of the stoma, which was managed conservatively until sixth postoperative week by stomatherapists. LESSONS SUBSECTIONS: Treatment of acute diverticulitis with parastomal phlegmon in a patient with end-colostomy could primary be nonoperative. Delayed surgical treatment with segmental colonic resection was proposed to avoid recurrence and potential associated complications.
[Mh] Termos MeSH primário: Celulite (Flegmão)/etiologia
Colostomia/efeitos adversos
Doença Diverticular do Colo/etiologia
Complicações Pós-Operatórias/etiologia
Estomas Cirúrgicos/efeitos adversos
[Mh] Termos MeSH secundário: Neoplasias Abdominais/cirurgia
Idoso
Neoplasias do Ânus/cirurgia
Feminino
Seres Humanos
Períneo/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008358


  7 / 7802 MEDLINE  
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[PMID]:28822400
[Au] Autor:Beffa LR; Warren JA; Cobb WS; Knoedler B; Ewing JA; Carbonell AM
[Ti] Título:Open Retromuscular Repair of Parastomal Hernias with Synthetic Mesh.
[So] Source:Am Surg;83(8):906-910, 2017 Aug 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Parastomal hernias (PHs) cause significant morbidity in patients with permanent ostomies, and several laparoscopic and open repair techniques have been described. We report our experience with open retromuscular repair of PHs using permanent synthetic mesh. A prospectively maintained database was retrospectively reviewed to identify patients undergoing PH repair. Primary outcomes are surgical site occurrence, surgical site infection (SSI), and hernia recurrence. Variables were analyzed using Pearson's χ2 test or Fisher's exact test. Values of P < 0.05 were considered significant. Forty-six patients underwent retromuscular PH repair with permanent synthetic mesh. There were 26 patients with colostomies and 20 with ileostomies. All the patients were repaired using a keyhole retromuscular technique and direct passage of stoma through mesh. Transversus abdominis release was performed in 65.2 per cent of cases. Permanent synthetic polypropylene mesh was used in all cases. Surgical site occurrence occurred in 47.8 per cent of patients, SSI in 17.4 per cent, and hernia recurrence in 21.7 per cent. Resiting the stoma yielded the highest rate of SSI (40%) compared with leaving the stoma in situ (11.8%) or rematuring the stoma (0%; P = 0.011). Open keyhole retromuscular PH repair of PH with permanent synthetic mesh is safe, effective, and durable.
[Mh] Termos MeSH primário: Colostomia/efeitos adversos
Herniorrafia/métodos
Ileostomia/efeitos adversos
Hérnia Incisional/etiologia
Hérnia Incisional/cirurgia
Telas Cirúrgicas
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Infecção da Ferida Cirúrgica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


  8 / 7802 MEDLINE  
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[PMID]:28759327
[Au] Autor:Song W; Zhou D; Xu W; Zhang G; Wang C; Qiu D; Dong J
[Ad] Endereço:Department of Orthopedic Surgery, Shandong Provincial Hospital affiliated to Shandong University , Shandong, People's Republic of China.
[Ti] Título:Factors of Pelvic Infection and Death in Patients with Open Pelvic Fractures and Rectal Injuries.
[So] Source:Surg Infect (Larchmt);18(6):711-715, 2017 Aug/Sep.
[Is] ISSN:1557-8674
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Open pelvic fractures associated with rectal injuries are uncommon. They often cause serious pelvic infection, even death. This combination of injuries has been reviewed infrequently. Herein, we report factors associated with pelvic infection and death in a group of patients with open pelvic fractures and concurrent rectal injuries. METHODS: We retrospectively reviewed the records of patients with open pelvic fractures and rectal injuries who were treated at our institution from January 2010-April 2014. From the medical records, age, gender, Injury Severity Score (ISS), cause of fracture, associated injuries, classification of the fracture, degree of soft-tissue injury, Glasgow Coma Score (GCS), Revised Trauma Score (RTS), packed red blood cells (PRBCs) needed, presence/absence of shock, early colostomy (yes or no), drainage (yes or no), and rectal washout (yes or no) were extracted. Univariable and multivariable analysis were performed to determine the association between risk factors and pelvic infection or death. RESULTS: Twenty patients were identified. Pelvic infection occurred in 50% (n = 10) of the patients. Four patients suffered septicemia, and three patients died of multiple organ dysfunction. The mortality rate thus was 15%. According to the univariable analysis, the patients in whom pelvic infection developed had shock, RTS ≤8, GCS ≤8, blood transfusion ≥10 units in the first 24 h, no colostomy, or Gustilo grade III soft-tissue injury. According to the multivariable analysis, shock and absence of colostomy were independently associated with pelvic infection. By univariable analysis, the only factor associated with death was RTS ≤8. CONCLUSION: The incidence of pelvic infection was lower in patients having early colostomy (p < 0.05). Patients with shock had a higher risk of pelvic infection, and we recommend aggressive measures to treat these patients. According to our results, RTS ≤8 could be a predictor of poor outcomes in patients with open pelvic fracture and concurrent rectal injury. Open reduction and internal fixation after extensive debridement is recommended in patients with unstable pelvic fractures.
[Mh] Termos MeSH primário: Traumatismos Abdominais/epidemiologia
Fraturas Expostas/epidemiologia
Ossos Pélvicos/lesões
Infecção Pélvica/epidemiologia
Reto/lesões
[Mh] Termos MeSH secundário: Traumatismos Abdominais/complicações
Traumatismos Abdominais/mortalidade
Adulto
Colostomia
Fraturas Expostas/complicações
Fraturas Expostas/mortalidade
Seres Humanos
Meia-Idade
Infecção Pélvica/complicações
Infecção Pélvica/mortalidade
Estudos Retrospectivos
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1089/sur.2017.083


  9 / 7802 MEDLINE  
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[PMID]:28682855
[Au] Autor:Famorca M; Beauchaine D; Angulo N
[Ad] Endereço:Mary Famorca, MAN, RN, WCC, COCN, Mayo Clinic Arizona, Phoenix, Arizona. Debra Beauchaine, MN, RN, AGPCNP, CWOCN-AP, Mayo Clinic Arizona, Phoenix, Arizona. Nancy Angulo, BS, RN, CWOCN, Cancer Treatment Center of America, Goodyear, Arizona.
[Ti] Título:Management of a Complex Peristomal Calciphylaxis: A Case Study.
[So] Source:J Wound Ostomy Continence Nurs;44(4):380-383, 2017 Jul/Aug.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Calciphylaxis, also referred to as calcific uremic arteriolopathy, is a rare and serious syndrome of small blood vessels with a high mortality rate. Calciphylaxis lesions require intensive wound management with medical interventions for the patient to survive the sequelae of sepsis and present unique challenges when found in the peristomal skin. CASE: A 33-year-old man presented with multiple malodorous stage 4 pressure injuries of his sacrococcygeal and gluteal area. His medical history included chronic kidney disease requiring hemodialysis since 2007, diabetes mellitus, and incomplete paraplegia. He underwent diverting colostomy to enhance wound healing. His hospital stay was complicated by the development of a peristomal calciphylaxis lesion (PCL) that made ostomy pouching especially challenging for the nursing staff. His care needs were also aggravated by nonadherence to diet restriction, pressure injury prevention efforts, and a continued need for high doses of analgesic medication. Collectively, these issues presented a challenge for the health care team during his hospital course and during safe discharge planning. CONCLUSIONS: The peristomal calciphylaxis lesion decreased in surface area and improved in appearance with the use of various wound care products as his medical condition improved. Skilled nursing management in the context of ongoing interdisciplinary collaboration assisted in managing the patient's peristomal calciphylaxis, ultimately leading to safe discharge from hospital.
[Mh] Termos MeSH primário: Calciofilaxia/terapia
Colostomia/efeitos adversos
Cicatrização
[Mh] Termos MeSH secundário: Adulto
Calciofilaxia/mortalidade
Violeta de Genciana/farmacologia
Violeta de Genciana/uso terapêutico
Seres Humanos
Masculino
Azul de Metileno/farmacologia
Azul de Metileno/uso terapêutico
Paraplegia/complicações
Lesão por Pressão/terapia
Diálise Renal
Insuficiência Renal Crônica/complicações
Insuficiência Renal Crônica/terapia
Instituições de Cuidados Especializados de Enfermagem/organização & administração
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
J4Z741D6O5 (Gentian Violet); T42P99266K (Methylene Blue)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000343


  10 / 7802 MEDLINE  
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[PMID]:28677408
[Au] Autor:Kotsis T; Christoforou P; Asaloumidis N; Papaconstantinou I
[Ad] Endereço:1 Vascular Unit, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
[Ti] Título:Delayed Sigmoid Ischemic Rupture Following Open Repair Abdominal Aortic Aneurysm.
[So] Source:Vasc Endovascular Surg;51(6):413-416, 2017 Aug.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Colon ischemia following aortic reconstruction is a severe complication with an incidence of 1% to 2% of the operated patients; this infrequent complication will be lethal for nearly half of these patients. Commonly, colon ischemia may be an intraoperative observation or an early postoperative finding. However, in the case presented here, sigmoid rupture and small and large intestine communication was revealed 3 months following repair of the abdominal aorta. A 71-year-old man, following open repair of an abdominal aortic aneurysm, went home on the fifth postoperative day. Four months later, he was admitted to the emergency department of our hospital, because of fever, diarrhea, and abdominal pain for about 5 days. After conservative treatment and improvement in symptoms, the patient was released only to return to hospital with the same symptoms after a month. On this second admission, the symptoms were initially mild and the patient seemed to improve, but suddenly he deteriorated and an exploratory laparotomy was conducted, which revealed a left colon ischemia and a communication between the sigmoid and the small intestine. A left hemicolectomy was performed, along with a temporary colostomy (Hartmann diversion). The patient, 2 years after the initial aortic repair and 10 months following the complete restoration of the large intestine continuity, is well with no further manifestations.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/efeitos adversos
Colite Isquêmica/etiologia
Colo Sigmoide
[Mh] Termos MeSH secundário: Idoso
Aneurisma da Aorta Abdominal/diagnóstico por imagem
Colectomia
Colite Isquêmica/diagnóstico por imagem
Colite Isquêmica/terapia
Colo Sigmoide/diagnóstico por imagem
Colo Sigmoide/cirurgia
Colostomia
Seres Humanos
Masculino
Recidiva
Ruptura Espontânea
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417718445



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde