Pericardial injury following severe sepsis from faecal peritonitis--a case report on the use of continuous cardiac output monitoring.
We report on a case of a 43-year-old man who developed reversible myocardial depression and pericarditis related to severe sepsis secondary to rectosigmoid colonic perforation. The management of this patient was aided by the use of a continuous thermodilution cardiac output catheter and monitor, recently introduced in clinical practice.
Forster
M R
MR
Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore.
Ip-Yam
P C
PC
D000328:Adult; D002302:Cardiac Output; D002407:Catheterization, Swan-Ganz; D003106:Colon / Q000293:injuries; D012809:Colon, Sigmoid / Q000293:injuries; D005243:Feces; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications*; D008297:Male; D008991:Monitoring, Physiologic; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010538:Peritonitis / Q000209:etiology* / Q000628:therapy; D018805:Sepsis / Q000209:etiology*