Havva CİLAN, Murat Hayri SİPAHİOĞLU, İsmail KOÇYİĞİT, Nilüfer OĞUZHAN, Öztürk ATEŞ, Bülent TOKGÖZ, Oktay OYMAK, Cengiz UTAŞ

Jejunal perforations in a peritoneal dialysis patient with peritonitis: A case report

3 yıldır periton diyalizi yapmakta olan 73 yaşındaki erkek hasta hastanemize karın ağrısı, ateş ve bulanık diyalizat nedeniyle başvurdu. Hastaya periton diyalizi ilişkili peritonit şüphesi ile intraperitoneal sefazol ve amikasin tedavisi başlandı. Tedavinin üçüncü gününde intestinal perforasyon gelişti. Laparotomi yapıldı ve jejunal perforasyonlar saptandı. Perforasyonlar primer olarak sütüre edildi. Operasyondan sonra primer sütür yerinden anostomoz kaçağı saptandı. Hasta sepsis ilişkili kardivovasküler kollaps nedeniyle öldü.

Periton diyalizi yapan peritonitli hastada jejunal perforasyonlar: vaka sunumu

A 73-year-old man maintained on continuous ambulatory peritoneal dialysis for 3 years, presented to our hospital with chief complaints of abdominal pain, fever and a cloudy dialysate. He was treated empirically with intraperitoneal cefazolin and amikacin for suspected PD-related peritonitis. On the third day, he developed jejunal perforations. A laparotomy was performed, revealing perforations of the jejenum. The perforations were sutured primarily. After the surgery, there was anastomotic leakage from the primary suture region. He died from sepsis-associated cardiovascular collapse.

Tam Metin

Kaynakça

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