ABSTRACT
We present the first-reported case of a complete colonic mucosal dehiscence after an emergency abdominal aortic aneurysm repair.
Subject(s)
Aortic Aneurysm, Abdominal/surgery , Aortic Rupture/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Colon, Sigmoid/injuries , Intestinal Mucosa/injuries , Intestinal Perforation/etiology , Sigmoid Diseases/etiology , Aged , Aortic Aneurysm, Abdominal/diagnosis , Aortic Rupture/diagnosis , Colon, Sigmoid/pathology , Diarrhea/etiology , Emergencies , Humans , Intestinal Mucosa/pathology , Intestinal Perforation/diagnosis , Intestinal Perforation/therapy , Male , Necrosis , Sigmoid Diseases/diagnosis , Sigmoid Diseases/therapy , Sigmoidoscopy , Treatment OutcomeABSTRACT
We offer this case for publication as we believe that this is the first report of widespread aortic thrombosis secondary to acute severe pancreatitis.
Subject(s)
Aortic Diseases/etiology , Pancreatitis/complications , Thrombosis/etiology , Acute Disease , Adult , Anticoagulants/therapeutic use , Aortic Diseases/diagnostic imaging , Aortic Diseases/drug therapy , Heparin/therapeutic use , Humans , Male , Thrombosis/diagnostic imaging , Thrombosis/drug therapy , Tomography, X-Ray ComputedABSTRACT
The use of extended duration thromboprophylaxis following hip and knee arthroplasty is becoming widespread. The aim of our study was to determine patient compliance with extended duration thromboprophylaxis using low molecular weight (LMWH) injections following hip and knee arthroplasty. 42 consecutive patients undergoing hip and knee arthroplasty were prospectively contacted during their fifth post operative week. A fully anonymised questionnaire was completed by each patient. All patients responded. One was excluded having been prescribed warfarin for pre existing atrial fibrillation. Twenty nine (71%) patients were discharged with the intention of self administering LMWH injections. Eight (20%) and four (9%) patients were discharged with the intention of administration by a relative or district nurse respectively. No patient required the person administering the injections to be changed after discharge from hospital. 90% (n=37) of patients reported not missing any doses. 10% (n=2) of patients missed one dose and 10% (n=2) missed two doses. Patient compliance with extended duration thromboprophylaxis using LMWH injections is extremely high. Oral thromboprophylaxis may be useful in the minority of patients requiring daily visits by a nurse to administer injections.
