Hamid Talebzadeh; Mohammad Eslamian; Amirhossein Fasahat
Volume 24, Issue 9 , 2022
Abstract
Introduction: Trauma is one of the most common surgical emergencies. Deep peritoneal lavage (DPL) is an invasive rapid test for detecting intra-abdominal hemorrhage or hollow viscus damage.
Objectives: However, there seems to be a defect in the interpretation of DPL in cirrhotic patients.
Case Presentation: ...
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Introduction: Trauma is one of the most common surgical emergencies. Deep peritoneal lavage (DPL) is an invasive rapid test for detecting intra-abdominal hemorrhage or hollow viscus damage.
Objectives: However, there seems to be a defect in the interpretation of DPL in cirrhotic patients.
Case Presentation: The authors reported a 54-year-old male patient who was a known case of cryptogenic liver cirrhosis and was referred due to falling. On the seventh day of admission, due to the persistence of abdominal distention and food intolerance, the medical team decided to conduct DPL to investigate hollow viscera damage. Since the peritoneum fluid analysis expressed a positive finding, the team decided that the patient should undergo explorative laparotomy. Intraoperative findings included cirrhotic liver with ascites without any evidence of bile secretions and intestinal contents. Unfortunately, however, the patient died on the 15th day.
Conclusion: The present case report is the first study on the false-positive DPL results in cirrhotic patients. It showed that positive DPL findings were untrustworthy in cirrhotic patients, and more powerful diagnostic tools are required for laparotomy decisions.
Ghazal Ghasempour Dabaghi; Mehrdad Rabiee Rad; Mohammad Eslamian; Maryam Goharian
Volume 24, Issue 4 , 2022
Abstract
Background: Coronavirus disease 2019 (COVID-19) is a major health problem worldwide. Vascular thrombosis is increasingly observed in COVID-19 patients. This complication seems to be due to coagulopathy and endothelial damage. In this paper, we report a COVID-19 patient with superior mesenteric artery ...
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Background: Coronavirus disease 2019 (COVID-19) is a major health problem worldwide. Vascular thrombosis is increasingly observed in COVID-19 patients. This complication seems to be due to coagulopathy and endothelial damage. In this paper, we report a COVID-19 patient with superior mesenteric artery thrombosis and review of 27 COVID-19 cases with acute mesenteric ischemia (AMI).
Case presentation: A 59-years old man with confirmed COVID-19 readmitted to the hospital due to abdominal pain and diarrhea two days after discharge from the emergency department. He was diagnosed with acute mesenteric ischemia by abdominal CT scan with contrast. The patient underwent emergency laparotomy and the ischemic gangrenous bowel was resected. Unfortunately, the patient succumbed one month after the operation.
Conclusion: AMI is a life-threatening thrombotic event rarely seen in COVID-19 patients, so it is vital to diagnose it. Anticoagulant and anti-inflammatory prophylactic therapies might be useful in preventing AMI, especially in the patients with thrombosis risk factor. So, it is crucial to reduce its incidence in COVID-19 patients.
