| Autor: |
Quezada, Felipe, Castillo, Richard, Villalón, Constanza, Zúñiga, José Miguel, Manterola, Carla, Molina, María Elena, Bellolio, Felipe, Urrejola, Gonzalo |
| Jazyk: |
Spanish; Castilian |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Revista médica de Chile, Volume: 143, Issue: 5, Pages: 668-672, Published: MAY 2015 |
| Popis: |
A loop ileostomy with intraoperative anterograde colonic lavage has been described as an alternative to colectomy in the management of cases of Clostridium difficile infection refractory to medical treatment. We report a 69 years old diabetic women admitted with a septic shock. An abdominal CAT scan showed a pan-colitis that seemed to be infectious. A polymerase chain reaction was positive for Clostridium Difficile. Due to the failure to improve after full medical treatment, a derivative loop ileostomy and intra-operatory colonic lavage were performed, leaving a Foley catheter in the proximal colon. In the postoperative period, anterograde colonic instillations of Vancomycin flushes through the catheter were performed every 6 hours. Forty eight hours after surgery, the patient improved. A colonoscopy prior to discharge showed resolution of the pseudomembranous colitis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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