[Recurrent retroperitoneal hematoma due to viperine envenomation: case study].

Autor: Diallo B; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Keita M; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Dicko H; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Toure MK; Département d'Anesthésie-Réanimation et Urgences, CHUME Luxembourg., Beye SA; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Kone J; Département d'Anesthésie-Réanimation et Urgences, CHUME Luxembourg., Diallo D; Service d'Anesthésie-Réanimation, CHU de Kati, Mali., Almeimoune AH; Département d'Anesthésie-Réanimation et Urgences, CHU Gabriel Toure, Bamako, Mali., Mangane MI; Département d'Anesthésie-Réanimation et Urgences, CHU Gabriel Toure, Bamako, Mali., Traore S; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Traore A; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Togola B; Service de Chirurgie B, CHU Point G, Bamako, Mali., Doumbia D; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali., Coulibaly Y; Service d'Anesthésie-Réanimation, CHU Point G, Bamako, Mali.
Jazyk: francouzština
Zdroj: The Pan African medical journal [Pan Afr Med J] 2019 Feb 08; Vol. 32, pp. 70. Date of Electronic Publication: 2019 Feb 08 (Print Publication: 2019).
DOI: 10.11604/pamj.2019.32.70.17951
Abstrakt: Ophidian envenomations are a public health problem in Africa, causing 20.000 annual deaths. This mortality reflects the difficulties in the management of these complications, in particular of bleeding complications. We report the case of Mr SL, aged 35 years, farmer, victim of snake bite causing haemorrhagic syndrome followed by a progressive onset of acute abdomen. Ultrasound objectified high abundant effusion. Effusion puncture was performed which showed unclotting blood. Given the re-establishment of the hemoperitoneum after three doses of antivenin serum as well as the coagulation of the samples collected using drying tube, exploratory laparotomy was performed on day 9. It showed retroperitoneal hematoma, with bulging appearance, in the mesocolon which flowed in the peritoneal cavity. Aspiration of 1500ml of blood and rinsing with physiological serum were performed. The postoperative course was uneventful. The patient was transferred to the department of surgery three days after surgery and was discharged on day 19.
Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts.
Databáze: MEDLINE
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