Informace o publikaci
Abdominal disaster
| Autoři | |
|---|---|
| Rok publikování | 2024 |
| Druh | Konferenční abstrakty |
| Fakulta / Pracoviště MU | |
| Citace | |
| Popis | The correct diagnosis of an acute abdomen in a morbidly obese patient is often complicated by the large amount of subcutaneous adipose tissue that hinders abdominal examination. The aim of this case report is to describe the case of an extremely obese patient with abdominal catastrophe and to discuss specific therapies for these high-risk patients. Method: A young, extremely obese female patient with a BMI of 88 kg/m2 and no other significant comorbidities presented with diffuse abdominal pain and markedly elevated inflammatory markers. A plain abdominal radiograph and ultrasonography were inconclusive for extreme obesity. For the same reason, it was not possible to perform a CT scan. Results / Discussion: Morbid obesity is the most commonly cited independent predictor of the risk of developing SSI. The cause of the abdominal catastrophe was stercoral peritonitis due to perforation of the gangrenous colon and terminal ileum in a multilocular large ventral hernia. The patient underwent 16 surgical revisions and the postoperative period was complicated by multi-organ failure. After 66 days in intensive care, she was transferred to a standard ward for recovery and rehabilitation. Conclusion: Abdominal catastrophe in extremely obese patients requires early surgical intervention and special perioperative and postoperative care, despite limited diagnostic possibilities. Despite all available therapies, it is associated with high mortality. We operate and treat increasingly complex and expensive cases. |
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