Gastric Perforation after Cesarean Delivery: An Unintended Consequence of the Opioid Epidemic

Autor:	Tesia A. McKenzie, Jonathan D. Baum, Eugene Zurkovsky
Rok vydání:	2021
Předmět:	Abdominal pain medicine.medical_specialty business.industry Nausea Exploratory laparotomy General surgery medicine.medical_treatment Perforation (oil well) Emergency department medicine.disease Opioid Pneumoperitoneum medicine Vomiting medicine.symptom business medicine.drug
Zdroj:	Open Journal of Obstetrics and Gynecology. 11:563-568
ISSN:	2160-8806 2160-8792
Popis:	30 year old female now para 1 presented to the Emergency Department with nausea, vomiting, and abdominal pain 6 days after an uncomplicated primary cesarean delivery. She did not respond to conservative management and underwent exploratory laparotomy for worsening pain, pneumoperitoneum and intraabdominal fluid collections. Gastric perforations required repair via gastrojejunostomy. Postoperative course was unremarkable. The anti-opioid campaign has altered the approach to postoperative pain management in both positive and negative ways. It has sparked new interest in alternative approaches to postoperative pain management, which include an increased role for non-steroidal anti-inflammatory drugs (NSAIDs). We present a case of a woman who had a significant complication due to the reliance of non-opioid pain medications after cesarean delivery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::12027a9b403fed4db5e338bc21975377 https://doi.org/10.4236/ojog.2021.115052 Zobrazit plný text záznamu