A rare case of an acute abdomen patient with gangrene of the colon as a complication of systemic lupus erythematosus
Authors:
S. Dolák 1; A. Prochotský 1; A. Mifkovič 1; J. Škultéty 1; M. Ježovít 1; P. Koudelka 1; P. Bluska 2
Authors place of work:
II. chirurgická klinika LF UK a UNB, Bratislava – Petržalka, prednosta: doc. MUDr. J. Škultéty, CSc.
1; Radiológia s. r. o. Nemocnica sv. Cyrila a Metoda, Bratislava – Petržalka, prednosta: prof. MUDr. J. Bilický, CSc.
2
Published in the journal:
Rozhl. Chir., 2015, roč. 94, č. 2, s. 74-77.
Category:
Case Report
Summary
The authors present a case report of a 39-year-old woman with acute abdomen – a comorbid patient with systemic lupus erythematosus, chronic renal insufficiency as a complication of lupus nephritis, included in a haemodialysis programme. The patient had also undergone transplantation of the left kidney in the past. She was initially admitted to the Department of Traumatology for a total endoprosthesis procedure due to bionecrosis of the head of the thigh bone. Postoperatively, the patient’s condition was complicated by gangrene of the colon confirmed by CT scan and during the operation. The patient was operated on – subtotal colectomy, terminal ileostomy and left-sided ovariectomy was performed. The postoperative course was complicated by perforation of the jejunum which was sutured. The patient was admitted to ICU and, after recovery, to our surgical department. Because of the metabolic disturbance she was treated in the internal medicine department. After 60 days she was discharged in a good condition, walking and with full per os realimentation.
Key words:
lupus erythematosus − gangrene of the colon − acute abdomen
Zdroje
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Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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