Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury
المؤلفون المشاركون
Jayarajah, Umesh
Basnayake, Oshan
Rathnaweera, Chiran
Shanthamoorthy, Gishanthan
Siriwardena, Heshan Dayantha
Jayathilaka, Asela
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-01
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Patients with cervical spinal injury with quadriplegia are at an increased risk of developing serious gastrointestinal complications.
We report an unusual case of spontaneous rectosigmoid perforation in a quadriplegic patient.
Case Presentation.
A 58-year-old man with diabetes mellitus and hypertension presented to the emergency department following a fall from 25 feet of height.
He sustained a fifth cervical vertebral fracture with quadriplegia and neurogenic shock.
One week later, he developed progressive abdominal distension with tachycardia, low blood pressure, and respiratory distress.
His abdomen was soft but had impaired liver dullness.
Imaging showed evidence of visceral perforation.
He underwent an emergency laparotomy and was found to have a perforation of the antemesenteric border of the rectosigmoid junction with fecal contamination.
The perforation was repaired primarily, and a temporary loop ileostomy was created.
The patient received intensive care for 4 days, and thereafter, the recovery was uneventful.
He was later transferred to the spinal unit for further management.
The intraoperative findings, histology, and subsequent colonoscopy did not reveal any underlying cause for the perforation.
Conclusions.
Clinical signs and symptoms are generally absent in patients following spinal cord injury, and the diagnosis of serious gastrointestinal pathology can be difficult and challenging.
We believe that ischemia at the rectosigmoid junction precipitated by multiple factors was the possible reason for the spontaneous perforation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Basnayake, Oshan& Rathnaweera, Chiran& Jayarajah, Umesh& Shanthamoorthy, Gishanthan& Siriwardena, Heshan Dayantha& Jayathilaka, Asela. 2020. Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury. Case Reports in Surgery،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151596
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Basnayake, Oshan…[et al.]. Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury. Case Reports in Surgery No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151596
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Basnayake, Oshan& Rathnaweera, Chiran& Jayarajah, Umesh& Shanthamoorthy, Gishanthan& Siriwardena, Heshan Dayantha& Jayathilaka, Asela. Acute Spontaneous Perforation of Rectosigmoid Junction in a Patient with Quadriplegia following Spinal Cord Injury. Case Reports in Surgery. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151596
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1151596
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر