Marginal ulcer with erosion into splenic artery in a patient with a Roux-en-Y gastric bypass
| Autor: | Jane Keating, Pallavi Nadendla, Leah Aakjar, Daniel Ricaurte, Jennifer Silvis, Nicholas Costanzo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Challenges in Trauma and Acute Care Surgery Splenic artery Critical Care and Intensive Care Medicine patients blood medicine.artery medicine medicine.diagnostic_test business.industry RC86-88.9 adult Medical emergencies. Critical care. Intensive care. First aid medicine.disease Roux-en-Y anastomosis Marginal Ulcer Surgery medicine.anatomical_structure Blood pressure Bacteremia Angiography splenic Abdomen Septic arthritis business |
| Zdroj: | Trauma Surgery & Acute Care Open, Vol 6, Iss 1 (2021) Trauma Surgery & Acute Care Open |
| ISSN: | 2397-5776 |
| Popis: | A female patient in her 70s with a remote history of an open Roux-en-Y gastric bypass for weight loss was admitted to the medical intensive care unit (ICU) for septic arthritis of the hip and associated bacteremia. On hospital day 7, the patient was found to have a significant drop in hemoglobin to 55 g/L. Despite undergoing a CT angiography of the abdomen and pelvis, no source of bleeding was identified. She received two units of blood and responded appropriately. On hospital day 9, the patient4 began to experience melanic stools and hematemesis. At that time, she was found to have a hemoglobin of 40g/L, a base deficit of −15, and was requiring three vasopressors to maintain adequate blood pressure. Both acute care surgery as well as gastroenterology were emergently consulted. A femoral venous introducer was placed and a massive transfusion protocol (MTP) was initiated. The patient was intubated, and … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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