Abdominal disaster

a 2024

Abdominal disaster

VEVERKOVÁ, Lenka; Petr DOLEŽAL; Michal REŠKA; Petr VLČEK; Jan ŽÁK et al.

Základní údaje

Originální název

Abdominal disaster

Autoři

VEVERKOVÁ, Lenka; Petr DOLEŽAL; Michal REŠKA; Petr VLČEK; Jan ŽÁK a Jakub HABR

Vydání

EWMA 2024 , 1-3.5.2024 London, 2024

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30200 3.2 Clinical medicine

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00138627

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

laparostomie infekce NPWT

Klíčová slova anglicky

laparostoma infection NPWT

Změněno: 31. 1. 2025 06:39, doc. MUDr. Lenka Veverková, Ph.D.

Anotace

V originále

The correct diagnosis of an acute abdomen in a morbidly obese patient is often complicated by the large amount of subcutaneous adipose tissue that hinders abdominal examination. The aim of this case report is to describe the case of an extremely obese patient with abdominal catastrophe and to discuss specific therapies for these high-risk patients. Method: A young, extremely obese female patient with a BMI of 88 kg/m2 and no other significant comorbidities presented with diffuse abdominal pain and markedly elevated inflammatory markers. A plain abdominal radiograph and ultrasonography were inconclusive for extreme obesity. For the same reason, it was not possible to perform a CT scan. Results / Discussion: Morbid obesity is the most commonly cited independent predictor of the risk of developing SSI. The cause of the abdominal catastrophe was stercoral peritonitis due to perforation of the gangrenous colon and terminal ileum in a multilocular large ventral hernia. The patient underwent 16 surgical revisions and the postoperative period was complicated by multi-organ failure. After 66 days in intensive care, she was transferred to a standard ward for recovery and rehabilitation. Conclusion: Abdominal catastrophe in extremely obese patients requires early surgical intervention and special perioperative and postoperative care, despite limited diagnostic possibilities. Despite all available therapies, it is associated with high mortality. We operate and treat increasingly complex and expensive cases.

Návaznosti

MUNI/A/1619/2023, interní kód MU

Název: Ovlivnění strategie chirurgické léčby u komplikovaných operací

Investor: Masarykova univerzita, Ovlivnění strategie chirurgické léčby u komplikovaných operací

Citovat

VEVERKOVÁ, Lenka; Petr DOLEŽAL; Michal REŠKA; Petr VLČEK; Jan ŽÁK a Jakub HABR. Abdominal disaster. In EWMA 2024 , 1-3.5.2024 London. 2024.

@proceedings{2471071,
   author = {Veverková, Lenka and Doležal, Petr and Reška, Michal and Vlček, Petr and Žák, Jan and Habr, Jakub},
   booktitle = {EWMA 2024 , 1-3.5.2024 London},
   keywords = {laparostoma infection NPWT},
   language = {eng},
   title = {Abdominal disaster},
   url = {https://ewma.org/ewma-2024-conference/},
   year = {2024}
}

TY  - CONF
ID  - 2471071
AU  - Veverková, Lenka - Doležal, Petr - Reška, Michal - Vlček, Petr - Žák, Jan - Habr, Jakub
PY  - 2024
TI  - Abdominal disaster
KW  - laparostoma infection NPWT
UR  - https://ewma.org/ewma-2024-conference/
N2  - The correct diagnosis of an acute abdomen in a morbidly obese patient is often complicated by the large amount of subcutaneous adipose tissue that hinders abdominal examination. The aim of this case report is to describe the case of an extremely obese patient with abdominal catastrophe and to discuss specific therapies for these high-risk patients. Method: A young, extremely obese female patient with a BMI of 88 kg/m2 and no other significant comorbidities presented with diffuse abdominal pain and markedly elevated inflammatory markers. A plain abdominal radiograph and ultrasonography were inconclusive for extreme obesity. For the same reason, it was not possible to perform a CT scan. Results / Discussion: Morbid obesity is the most commonly cited independent predictor of the risk of developing SSI. The cause of the abdominal catastrophe was stercoral peritonitis due to perforation of the gangrenous colon and terminal ileum in a multilocular large ventral hernia. The patient underwent 16 surgical revisions and the postoperative period was complicated by multi-organ failure. After 66 days in intensive care, she was transferred to a standard ward for recovery and rehabilitation. Conclusion: Abdominal catastrophe in extremely obese patients requires early surgical intervention and special perioperative and postoperative care, despite limited diagnostic possibilities. Despite all available therapies, it is associated with high mortality. We operate and treat increasingly complex and expensive cases.
ER  -

VEVERKOVÁ, Lenka; Petr DOLEŽAL; Michal REŠKA; Petr VLČEK; Jan ŽÁK a Jakub HABR. Abdominal disaster. In \textit{EWMA 2024 , 1-3.5.2024 London}. 2024.

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