1.
Am Surg
; 83(6): 677-678, 2017 Jun 01.
Article
in English
| MEDLINE
| ID: mdl-28637574
Subject(s)
Diverticulitis, Colonic/complications , Diverticulitis, Colonic/surgery , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Orbital Diseases/etiology , Subcutaneous Emphysema/etiology , Aged, 80 and over , Contrast Media , Diverticulitis, Colonic/diagnostic imaging , Humans , Intestinal Perforation/diagnostic imaging , Male , Orbital Diseases/diagnostic imaging , Subcutaneous Emphysema/diagnostic imaging , Tomography, X-Ray Computed
2.
J Surg Case Rep
; 2016(6)2016 Jun 14.
Article
in English
| MEDLINE
| ID: mdl-27302498
ABSTRACT
Abdominal compartment syndrome (ACS) is a known complication of laparotomy; however, the literature is lacking in regards to treatment of this entity in pregnant patients. We present a case of acute perforated appendicitis in a second trimester primagravida, complicated by gangrenous necrosis of the contiguous bowel with subsequent development of ACS and intra-abdominal sepsis. This was treated with a novel approach, using non-commercial negative pressure wound therapy and open abdomen technique. Gestational integrity was preserved and the patient went on to experience a normal spontaneous vaginal delivery. At 5 years post-delivery the patient has had no surgical complications and her baby has met all developmental milestones.