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Ultima descărcare din IBN: 2023-10-11 20:07 |
Căutarea după subiecte similare conform CZU |
616.346-002.1-089-036.1 (1) |
Pathology of the digestive system. Complaints of the alimentary canal (1789) |
SM ISO690:2012 VRABIE, Mihai. Retroperitoneal phlegmon postapendicectomy. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 333. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.346-002.1-089-036.1 | ||||||
Pag. 333-333 | ||||||
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Background. Retroperitoneal phlegmon is a rare complication of acute destructive appendicitis; it results in considerable mortality and requires complex therapeutic measures. Objective of the study. Optimization of the tactics of diagnosis and postoperative treatment of a patient with a complicated, destructive, retrocecal appendicitis with retroperitoneal phlegmon and phlegmon of the anterior abdominal wall. Material and Methods. The results of clinical, laboratory and ultrasound examinations confirmed the postoperative complication and were correlated with the changes found intraoperatively. Results. This paper presents the case of a 59-year-old patient, operated in another medical unit for perforating gangrenous appendicitis, later transferred to Surgery Clinic No. 2, Timofei Moșneaga Republican Clinical Hospital. He developed a prolonged febrile syndrome, and then an intestinal paresis followed by postoperative psychosis, and finally developed extensive phlegmon in the anterior abdominal wall. The clinical examinations and paraclinical investigations indicated the immediate need of a reoperation as an emergency, which resolved the complications of severe intra-abdominal infection. Conclusion. Late treatment of acute appendicitis leads to severe complications. The diagnosis of retroperitoneal phlegmon is essential in the curative management of preventing postoperative complications. |
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Cuvinte-cheie Retroperitoneal phlegmon, acute appendicitis, rare complication, Flegmon retroperitoneal, apendicită acută, complicație rară |
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