BŘIŠNÍ KATASTROFA U EXTRÉMNĚ OBÉZNÍ PACIENTKY
| Title in English | ABDOMINAL CATASTROPHE IN AN EXTREMELY OBESE PATIENT |
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| Authors | |
| Year of publication | 2023 |
| Type | Appeared in Conference without Proceedings |
| MU Faculty or unit | |
| Citation | |
| Description | Correctly diagnose acute abdomen in morbidly obese patient is often complicated by a large amount of subcutaneous adipose tissue that hinders the examination of the abdomen. Methods. kg/m2 without other significant comorbidities, had diffuse abdominal pain and marked elevation of inflammatory markers. A plain abdominal radiograph and ultrasonography were not for extreme obesity. CT scan was not possible for extreme obesity. Results: the cause of the abdominal catastrophe was stercoral peritonitis. with perforation of the gangrenous colon and terminal ileum in a multilocular bulky ventral hernia. A patient with multiorgan failure in the postoperative underwent 16 surgical revisions. After 66 days of care, she was transferred to the standard ward. Conclusion: abdominal catastrophe in the extremely obese despite limited diagnostic possibilities require early surgical intervention and special perioperative and postoperative care. Despite all possible therapies, it is associated with high mortality. The aim of this communication is to describe a case of extremely obese patient with abdominal catastrophe and discuss the specific therapies for these high-risk patients. |