When the Diagnosis Lies in a Twist
Severe abdominal pain was the reason for the visit to our emergency department. Only a twist in the computed tomography images led to the correct diagnosis.
a publication of the Swiss College of Surgeons
En tant que médecin assistant en chirurgie, les articles et contributions très informatifs de SWISS / KNIFE m'ont aidé à me développer dans ma spécialité. Au sein du Editorial Board, je m'efforce de faire en sorte que les assistants actuels et futurs puissent également en bénéficier. Je porte un intérêt particulier à la coloproctologie, que j'aimerais volontiers faire découvrir à nos lecteurs et lectrices.
Severe abdominal pain was the reason for the visit to our emergency department. Only a twist in the computed tomography images led to the correct diagnosis.
A 76-year-old patient presented in septic shock with diffuse abdominal pain two days after upper endoscopy. Fluid resuscitation and broad-spectrum antibiotics were administered. Initial diagnostics revealed an enlarged stomach wall. After further detoriation and development of an abdominal compartment syndrome a partial gastrectomy and open-abdomen treatment was performed.