Scarlini, Stefania and Gandolfo, Marco and Pietrangelo, Antonello (2016) Sudden Onset of Lower Abdominal Pain Without Peritonitis or Ileus. European Journal of Case Reports in Internal Medicine, 3 (7). ISSN 2284-2594
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Abstract
A patient presented with sudden, unexplained lower abdominal pain without peritonism or signs of infection or inflammatory reaction, but with recent bloody stools and a history of radiation therapy, diabetes and immunosuppression. Plain abdominal x-ray showed only air-fluid levels and air distention of the colon, but a later abdominal CT scan revealed extensive gas gangrene of the colon. The patient’s clinical status rapidly worsened. Elective surgical rectosigmoid debridement did not prevent the patient’s death. In conclusion, the diagnosis of ‘spontaneous’ life-threatening gas gangrene requires a high degree of clinical suspicion and allows life-saving surgical intervention.
| Item Type: | Article |
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| Uncontrolled Keywords: | Gas-gangrene, Clostridium septicum, acute abdominal pain |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 12 Dec 2016 14:24 |
| Last Modified: | 12 Dec 2016 14:24 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/15759 |
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