| Autor: |
Steven T. F. Chan, Tyson A Moore |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Translational Surgery. 2:109 |
| ISSN: |
2468-5585 |
| DOI: |
10.4103/ts.ts_15_17 |
| Popis: |
A 62-year-old Vietnamese male presented for an elective video-assisted thoracoscopic surgery lobectomy for treatment of a suspicious lung mass. Postoperatively, he developed a hemorrhagic duodenal ulcer requiring endoscopic hemostasis. Interestingly, he subsequently became septic secondary to perforated acute appendicitis necessitating laparoscopic appendectomy. Surgery can evoke a physiological stress response and may be a causative factor in the pathogenesis of stress ulcers in surgical patients. A recent article has found an association between the development of acute appendicitis in patients with a history of peptic ulcer disease. The pathological mechanism responsible for this association may be the result of an imbalance of the autonomic nervous system and neuromusculature spasms at the ceco-appendiceal junction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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