title: Intestinal ischemia after bushmaster (Lachesis muta) snakebite--a case report.
abstract: After a snakebite by the Costa Rican bushmaster Lachesis stenophrys, a 64-year-old patient developed cardiovascular shock and coagulopathy. After intensive care and antivenom treatment, he was discharged after 4 days but had to be hospitalised again 3 days later because of abdominal pain and bowel obstruction. An emergency laparotomy revealed a necrotic ileum and caecum, and an obstruction of the superior mesenteric artery. Until now, this type of intestinal ischemic complication after a snakebite has not been reported in the literature. The effects of bushmaster venom are discussed.
authors.affiliation: Division of Surgery, Dornach Hospital, 4143 Dornach, Switzerland. rosenthal_r@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Rosenthal
authors.forename: J
authors.initials: J
authors.lastname: Meier
authors.forename: A
authors.initials: A
authors.lastname: Koelz
authors.forename: C
authors.initials: C
authors.lastname: Müller
authors.forename: W
authors.initials: W
authors.lastname: Wegmann
authors.forename: P
authors.initials: P
authors.lastname: Vogelbach
mesh_terms: D000818:Animals; D001772:Blood Cell Count; D006801:Humans; D007410:Intestinal Diseases / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D007422:Intestines / Q000473:pathology; D007511:Ischemia / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012909:Snake Bites / Q000473:pathology* / Q000601:surgery; D013921:Thrombocytopenia / Q000139:chemically induced / Q000473:pathology; D017819:Viperidae / Q000502:physiology*