An Unusual Cause of Pneumoperitoneum
| Autor: | Julio Reguera-Rosal, Jesús Cañete-Gómez, Juan José Segura-Sampedro |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Antifungal Agents Respiratory rate Nausea Stomach Diseases Hepatosplenomegaly Pneumoperitoneum Gastrectomy Heart rate medicine Humans Mucormycosis Splenic Diseases Hepatology business.industry Stomach Gastroenterology Thrombosis Middle Aged medicine.disease Surgery Treatment Outcome Blood pressure Abdominal examination Anesthesia Splenectomy medicine.symptom Tomography X-Ray Computed business Splenic Artery |
| Zdroj: | Gastroenterology. 147:e3-e5 |
| ISSN: | 0016-5085 |
| DOI: | 10.1053/j.gastro.2014.05.041 |
| Popis: | Department of General Surgery, University Hospital Virgen del Rocio, Sevilla, SpainQuestion: A 59-year-old man was admittedthe hospital with fever(39 C), nausea, andvomiting. He reportedmild, diffuse abdom-inal pain for a week.He has receivedlast chemotherapyowing to Philadelphiachromosome–positiveacute lymphoblasticleukemia (Phþ ALL) 4 days before (vincristine and dexamethasone), and now presents general health deterioration.Physical examination revealed a respiratory rate of 23 breaths per minute, a heart rate of 82 bpm, and a temperature of38.6 C with a blood pressure of 144/90 mmHg. Abdominal examination revealed decreased bowel sounds and severediffuse abdominal pain, with rigidity and rebound tenderness. There was no evidence of hepatosplenomegaly or masslikelesions.Laboratory studies included a white blood cell count of 920/mm |
| Databáze: | OpenAIRE |
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