Gastric pneumatosis, an uncommon complication of a lung transplant, prognosis, diagnostic and treatment management.

Autor: García Picazo A; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre, España., Pardo Díaz FJ; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Álvaro Valiente E; Medicina Intensiva, Hospital Universitario 12 de Octubre., Navarro Fajardo D; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Justo Alonso I; Cirugía General y del Aparato Digestivo, Hospital Universitario 12 de Octubre., Cambra Molero F; Cirugía General y del Aparato DigestivoGeneral, del Aparato Digestivo, Hospital Universitario 12 de Octubre.
Jazyk: angličtina
Zdroj: Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2023 Sep; Vol. 115 (9), pp. 537-538.
DOI: 10.17235/reed.2023.9806/2023
Abstrakt: We present a case of a 40-year-old woman with double-lung transplant with extracorporeal circulation (EC) due to pulmonary hypertension (pulmonary veno-occlusive disease form (PVOD)) secondary to mixed connective tissue disease (MCTD). On day 6 postoperatively, abdominal pain and distension was noticed, since abdominal CT scan was performed, showing emphysematous gastritis with gastric wall ischemia and peritonitis. Therefore, emergent surgery was proposed. By open surgery approach, a total gastrectomy with Roux-en-Y and esophagojejunal anastomosis was performed. On day 6 after gastrectomy, intraluminal bleeding of the esophagojejunal anastomosis was detected in control CT, which was not need any aggressive treatment. Postoperative evolution was favourable, being discharged from the intensive care unit on the day 34 and from the hospital two months later.
Databáze: MEDLINE