Acute extensive necrosis of the visceral organs after repair of a ruptured thoracic aortic aneurysm.
A 47-year-old woman was admitted to our hospital for repair of a ruptured thoracic aortic aneurysm. Her post-operative course was uneventful, but she had persistent complaints of anorexia and general fatigue that failed to improve. Thirty-one days after surgery, she complained of severe abdominal pain. Abdominal computed tomography (CT) and X-ray revealed extensive necrosis of the visceral organs. She underwent emergency abdominal exploration and was found to have necrosis of the liver, gallbladder, stomach, entire small bowel and colon. The extensive necrosis made resection of the involved organs unfeasible. The patient died one day after exploratory laparotomy.
Sugita
T
T
Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Mori
A
A
Watarida
S
S
Onoe
M
M
Shiraishi
S
S
Nojima
T
T
Nakajima
Y
Y
Tabata
R
R
Matsuno
S
S
D000208:Acute Disease; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D004064:Digestive System / Q000473:pathology*; D005260:Female; D006801:Humans; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000209:etiology*; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*