Gangrenous Colitis in a Patient with Polypharmacy: A Case Study
Journal of Surgery
Volume 4, Issue 1, February 2016, Pages: 4-7
Received: Jan. 13, 2016; Accepted: Jan. 25, 2016; Published: Feb. 29, 2016
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Hassan Malik, Hervey Bay Hospital, Queensland, Australia
Sivananthan Suntharalingam, Hervey Bay Hospital, Queensland, Australia
Muhammad Majid Ali, Hervey Bay Hospital, Queensland, Australia
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A 20-year-old female, otherwise fit and well, was admitted to intensive care unit intubated with polypharmacy secondary to drug over dose. She developed a seizure episode and a rise in serum lactate within 24 hours of admission, followed by abdominal distension, with metabolic acidosis and a further elevation of serum lactate levels. CT abdomen revealed gangrenous colitis, which was confirmed on laparotomy. The patient underwent subtotal colectomy with end ileostomy, which was further complicated a week later by necrosis of the stoma due to knotting of the small bowel around the ileostomy loop. She underwent another laparotomy, for fixation of internal herniation of small bowel loops as well re-fashioning of the end ileostomy, and had an uneventful recovery. Final pathology of the colon showed ischaemic colitis with mural necrosis, peritonitis and viable resection margins.
Young Female, Gangrenous Colitis, Ishaemic Colitis(IC), Polypharmacy, CT, Laparotomy, Ileostomy
To cite this article
Hassan Malik, Sivananthan Suntharalingam, Muhammad Majid Ali, Gangrenous Colitis in a Patient with Polypharmacy: A Case Study, Journal of Surgery. Vol. 4, No. 1, 2016, pp. 4-7. doi: 10.11648/j.js.20160401.12
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