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2015, Number 4

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Rev Clin Esc Med 2015; 5 (4)

CASO 17-2015: Femenina de 32 años con dolor abdominal inespecífico. Isquemia intestinal por trombosis de vena mesentérica superior

Rodríguez BW, Barrantes LC

Language: Spanish
References: 16
Page: 25-31
PDF size: 756.20 Kb.


ABSTRACT

The case presented herein describes a 32 year old female, with prior medical history of migraine, currently employed as an operator at RITEVE, referred from a private clinic to the Maximiliano Peralta Hospital Emergency Department in Cartago, for presenting 9 days of persistent abdominal pain, she is evaluated by the surgery department, an taken into surgery. During exploratory laparotomy, approximately 1 liter of sero-hematic fluid is documented in abdominal cavity, related to small bowel segmentary ischemia, 120 cm long intestinal affection, at 120 cm from the Treitz´s ligament. During hospitalization she required 6 different surgical interventions for various reasons, including anastomotic leak, and hypovolemic shock among others. Patient also required ventilatory and inotropic support in the intensive care unit.


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