Gastric Perforation Necessitating Splenectomy.

Autor: Zee K; Emergency General Surgery, MercyOne Des Moines Medical Center, Des Moines, USA., Tran M; Emergency General Surgery, MercyOne Des Moines Medical Center, Des Moines, USA., Pirozzi N; Emergency General Surgery, MercyOne Des Moines Medical Center, Des Moines, USA., Losh J; Emergency General Surgery, MercyOne Des Moines Medical Center, Des Moines, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Oct 08; Vol. 16 (10), pp. e71091. Date of Electronic Publication: 2024 Oct 08 (Print Publication: 2024).
DOI: 10.7759/cureus.71091
Abstrakt: Gastric perforations can rarely cause splenic erosion from irritation of gastric contents spilling into the peritoneum. This case describes a 51-year-old female on chronic steroid use due to Addison's disease who presents with a gastric perforation involving the splenic hilum. Computed tomography showed a posterior gastric perforation with splenic erosion of a foreign body. Due to her abdominal exam, surgery for abdominal peritonitis was performed. The patient was found to have a pill that had eroded into the splenic hilum after passing through a gastric perforation. This required concomitant Graham patch repair and splenectomy.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Zee et al.)
Databáze: MEDLINE