Transmesenteric Internal Herniation of Small Bowel in an Elderly
A 68-year-old male complained of epigastric pain and coffee ground vomitus for hours. Emergent panendoscopy revealed diffuse esophageal ulcers, mild hiatal hernia, and gastric erosion. An abdominal computed tomography (CT) scan was performed due to the persistent abdominal pain with peritonitis. CT...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2012-03-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959812000233 |
| Summary: | A 68-year-old male complained of epigastric pain and coffee ground vomitus for hours. Emergent panendoscopy revealed diffuse esophageal ulcers, mild hiatal hernia, and gastric erosion. An abdominal computed tomography (CT) scan was performed due to the persistent abdominal pain with peritonitis. CT scan without enhancement showed transmesenteric internal herniation of the small bowel with strangulation. The condition of the patient deteriorated and he died from extreme shock and peritonitis after 3 hours of observation in the surgical intensive care unit. |
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| ISSN: | 1873-9598 |