Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000100014 |
Resumo: | BACKGROUND: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when have low flow and hemorrhagic shock. It usually presents with a challenging diagnosis and high mortality rates, despite appropriate treatment. CASE REPORT: Patient with blunt trauma was admitted and initial treatment, complementary exams showed ribs and humerus fractures. Computerized tomography showed aerial distension in small bowels along with gastric stasis and hidropneumothorax. The patient had hypotension during clinical observation and cardiopulmonary arrest, responding to reanimation. Taken to surgery for damage control, it was found extensive necrosis of right colon, which was excised and performed primary anastomosis. He was admitted in the intensive care unit, evolving with oliguria, miosis, convulsion, and pulseless electric activity, dying three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to systemic hypotension, frequently followed by fatal outcomes. |
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Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcomeAbdominal traumaMesenteryThrombosisBACKGROUND: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when have low flow and hemorrhagic shock. It usually presents with a challenging diagnosis and high mortality rates, despite appropriate treatment. CASE REPORT: Patient with blunt trauma was admitted and initial treatment, complementary exams showed ribs and humerus fractures. Computerized tomography showed aerial distension in small bowels along with gastric stasis and hidropneumothorax. The patient had hypotension during clinical observation and cardiopulmonary arrest, responding to reanimation. Taken to surgery for damage control, it was found extensive necrosis of right colon, which was excised and performed primary anastomosis. He was admitted in the intensive care unit, evolving with oliguria, miosis, convulsion, and pulseless electric activity, dying three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to systemic hypotension, frequently followed by fatal outcomes.Colégio Brasileiro de Cirurgia Digestiva2010-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000100014ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.23 n.1 2010reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/S0102-67202010000100014info:eu-repo/semantics/openAccessCollaço,Iwan AugustoDiorio,Allan CezarNasr,AdonisSilva,Fernanda Cristina daCecílio,William Augusto CasteleinsToledo-Filho,Rodolfo Cardoso deeng2010-06-22T00:00:00Zoai:scielo:S0102-67202010000100014Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2010-06-22T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false |
dc.title.none.fl_str_mv |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
title |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
spellingShingle |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome Collaço,Iwan Augusto Abdominal trauma Mesentery Thrombosis |
title_short |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
title_full |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
title_fullStr |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
title_full_unstemmed |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
title_sort |
Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome |
author |
Collaço,Iwan Augusto |
author_facet |
Collaço,Iwan Augusto Diorio,Allan Cezar Nasr,Adonis Silva,Fernanda Cristina da Cecílio,William Augusto Casteleins Toledo-Filho,Rodolfo Cardoso de |
author_role |
author |
author2 |
Diorio,Allan Cezar Nasr,Adonis Silva,Fernanda Cristina da Cecílio,William Augusto Casteleins Toledo-Filho,Rodolfo Cardoso de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Collaço,Iwan Augusto Diorio,Allan Cezar Nasr,Adonis Silva,Fernanda Cristina da Cecílio,William Augusto Casteleins Toledo-Filho,Rodolfo Cardoso de |
dc.subject.por.fl_str_mv |
Abdominal trauma Mesentery Thrombosis |
topic |
Abdominal trauma Mesentery Thrombosis |
description |
BACKGROUND: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when have low flow and hemorrhagic shock. It usually presents with a challenging diagnosis and high mortality rates, despite appropriate treatment. CASE REPORT: Patient with blunt trauma was admitted and initial treatment, complementary exams showed ribs and humerus fractures. Computerized tomography showed aerial distension in small bowels along with gastric stasis and hidropneumothorax. The patient had hypotension during clinical observation and cardiopulmonary arrest, responding to reanimation. Taken to surgery for damage control, it was found extensive necrosis of right colon, which was excised and performed primary anastomosis. He was admitted in the intensive care unit, evolving with oliguria, miosis, convulsion, and pulseless electric activity, dying three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to systemic hypotension, frequently followed by fatal outcomes. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000100014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000100014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-67202010000100014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
dc.source.none.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.23 n.1 2010 reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
instname_str |
Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
instacron_str |
CBCD |
institution |
CBCD |
reponame_str |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
collection |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
repository.name.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
repository.mail.fl_str_mv |
||revistaabcd@gmail.com |
_version_ |
1754208955624587264 |