A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis
Joint Authors
Matsumoto, Toshiharu
Tsuchida, Junko
Miyano, Shozo
Kawano, Fumihiro
Kojima, Kuniaki
Kitabatake, Toshiaki
Tsukamoto, Ryoichi
Ogura, Kanako
Fujisawa, Minoru
Naito, Shigetoshi
Fujita, Shouhei
Ishiyama, Shun
Honjo, Kunpei
Machida, Michio
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
An 85-year-old woman was admitted to our hospital for steroid therapy for relapsing nephrotic syndrome.
During hospitalization, she complained of sudden epigastric pain at night.
Although there were signs of peritoneal irritation, CT showed a large amount of ascitic fluid, but no free intraperitoneal gas.
Gram staining of ascitic fluid obtained by abdominal paracentesis showed Gram-negative rods, which raised a strong suspicion of gastrointestinal perforation and peritonitis.
Therefore, emergency surgery was performed.
Exploration of the colon showed multiple sigmoid diverticula, one of which was perforated.
The patient underwent an emergency Hartmann's procedure.
Imaging studies failed to reveal any evidence of gastrointestinal perforation, presenting a diagnostic challenge.
However, a physician performed rapid Gram staining of ascitic fluid at night when laboratory technicians were absent, had a strong suspicion of gastrointestinal perforation, and performed emergency surgery.
Gram staining is superior in rapidity, and ascitic fluid Gram staining can aid in diagnosis, suggesting that it should be actively performed.
We report this case, with a review of the literature on the significance of rapid diagnosis by Gram staining.
American Psychological Association (APA)
Tsuchida, Junko& Fujita, Shouhei& Kawano, Fumihiro& Tsukamoto, Ryoichi& Honjo, Kunpei& Naito, Shigetoshi…[et al.]. 2014. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-470592
Modern Language Association (MLA)
Tsuchida, Junko…[et al.]. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-470592
American Medical Association (AMA)
Tsuchida, Junko& Fujita, Shouhei& Kawano, Fumihiro& Tsukamoto, Ryoichi& Honjo, Kunpei& Naito, Shigetoshi…[et al.]. A Case of Perforated Sigmoid Diverticulitis in Which Gram Staining of Ascitic Fluid Was Useful for Diagnosis. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-470592
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470592