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Periton diyalizi yapan peritonitli hastada jejunal perforasyonlar: vaka sunumu

Year 2014, Issue: 1, 67 - 69, 01.04.2014

Abstract

3 yıldır periton diyalizi yapmakta olan 73 yaşındaki erkek hasta hastanemize karın ağrısı, ateş ve bulanık diyalizat nedeniyle başvurdu. Hastaya periton diyalizi ilişkili peritonit şüphesi ile intraperitoneal sefazol ve amikasin tedavisi başlandı.Tedavinin üçüncü gününde intestinal perforasyon gelişti. Laparotomi yapıldı ve jejunal perforasyonlar saptandı. Perforasyonlar primer olarak sütüre edildi. Operasyondan sonra primer sütür yerinden anostomoz kaçağı saptandı. Hasta sepsis ilişkili kardivovasküler kollaps nedeniyle öldü.

Jejunal perforations in a peritoneal dialysis patient with peritonitis: a case report

Year 2014, Issue: 1, 67 - 69, 01.04.2014

Abstract

A 73-year-old man was maintained on contiuous ambulatory peritoneal dialysis for 3 years. The patient presented to our hospital with chief complaints of abdominal pain, fever and cloudy dialysate. He was treated empirically with intraperitoneal cefazolin and amikacin for suspected PD-releated peritonitis. On the third treatment, small intestinal perforation developed. A laparotomy was performed, revealing perforations of the jejenum. The perforations were sutured primarily. After the operation, anastomotic leakage from the primary suture region was revealed. He died due to sepsis-associated cardiovascular collapse.

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Details

Other ID JA98BR38PA
Journal Section Case Report
Authors

Hava Cilan This is me

Murat Hayri Sipahioğlu This is me

Nilüfer Oğuzhan This is me

Öztürk Ateş This is me

İsmail Koçyiğit This is me

Bülent Tokgöz This is me

Oktay Oymak This is me

Cengiz Utaş This is me

Publication Date April 1, 2014
Submission Date April 1, 2014
Published in Issue Year 2014 Issue: 1

Cite

AMA Cilan H, Sipahioğlu MH, Oğuzhan N, Ateş Ö, Koçyiğit İ, Tokgöz B, Oymak O, Utaş C. Jejunal perforations in a peritoneal dialysis patient with peritonitis: a case report. Pam Med J. April 2014;(1):67-69.

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