[A rare case of an acute abdomen patient with gangrene of the colon as a complication of systemic lupus erythematosus]. / Zriedkavá náhla brusná príhoda - gangréna kolonu ako komplikácia systémového lupus erythematosus.
Rozhl Chir
; 94(2): 74-7, 2015 Feb.
Article
em Cs
| MEDLINE
| ID: mdl-25659257
ABSTRACT
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 patients 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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colectomia
/
Colo
/
Abdome Agudo
/
Lúpus Eritematoso Sistêmico
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Cs
Revista:
Rozhl Chir
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2015
Tipo de documento:
Article