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1.
Cir Cir ; 87(S1): 33-37, 2019.
Article in English | MEDLINE | ID: mdl-31501624

ABSTRACT

BACKGROUND: Colonic vascular lesion secondary to verapamil overdose is mediated by free radicals, forming vascular microtrombos and endotoxin generation, being a difficult diagnosis. CLINICAL CASE: A 27-year-old female is admitted with an acute abdomen of 4 days after an event referred for a suicidal attempt due to an overdose of verapamil, operating surgically where there is a right transmural colon necrosis, performing a right hemicolectomy with terminal ileostomy. CONCLUSIONS: Recognize and properly treat an acute abdomen, not always reach an adequate diagnosis, so a thorough history could conclude.


ANTECEDENTES: La lesión vascular colónica secundaria a la sobredosis de verapamilo, es mediada por radicales libres, formando microtrombos vasculares y generación de endotoxinas, siendo un diagnostico difícil. CASO CLÍNICO: Femenino de 27 años, ingresa con abdomen agudo de 4 días posteriores a un evento remitido de intento suicida por sobredosis de verapamilo, interviniéndose quirúrgicamente donde se halla necrosis colónica transmural derecha, realizando hemicolectomía derecha con ileostomía terminal. CONCLUSIONES: Reconocer y tratar de forma adecuada un abdomen agudo, no siempre se suele llegar a un adecuado diagnostico, por lo cual una minuciosa anamnesis lograría concluirlo.


Subject(s)
Abdomen, Acute/surgery , Colectomy , Colon/pathology , Ileostomy , Ischemia/chemically induced , Splanchnic Circulation/drug effects , Abdomen, Acute/chemically induced , Abdominal Abscess/etiology , Adult , Colon/blood supply , Drainage , Female , Humans , Hypotension/chemically induced , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Ischemia/pathology , Necrosis , Suicide, Attempted , Tachycardia/chemically induced , Verapamil/poisoning
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