Is abdominal pain after an injury just an injury? Case report of rare aspiration pneumonia with lung gangrene and peritoneal response in a 5-year-old child

Česká verzia

Authors: Ján Hrubovčák ¹; Ubomír Tulinský ¹; Peter Ihnát ¹; Petr Jelínek ¹; Ivana Slívová ¹; Marcel Mitták ¹; Jan Roman ¹; Jan Stránský ²
Authors place of work: Chirurgická klinika LF UO a FN Ostrava ¹; Klinika úrazové chirurgie a ortopedie LF UO a FN Ostrava ²
Published in the journal: Čas. Lék. čes. 2023; 162: 160-163
Category: Case report

Summary

Although pneumonia presents a relatively common diagnosis, it does not always present with classic clinical symptoms, nor does it follow a regular course without complications. The presented case describes a rare case of aspiration necrotizing pneumonia, which despite intensive therapy, progressed to lung gangrene and required a lung lobectomy. Another peculiarity is that the correct diagnosis was established only after the onset of abdominal pain, surprisingly by a trauma surgeon. This case emphasizes the necessity of a thorough general examination and draws attention to a rare, but conservatively intractable necrotizing pneumonia complicated by lung gangrene.

Keywords:

acute abdomen – Pediatrics – Abdominal pain – Lobectomy – necrotizing pneumonia

Zdroje

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Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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