title: Endogenous gas gangrene after laparoscopic cholecystectomy.
abstract: Clostridial gas gangrene of the abdominal wall is rare, and it is usually associated with organ perforation, immunosuppression or gastrointestinal malignancies. In this paper we present a case of fulminant, endogenous gas gangrene in a 58-year old diabetic female with arterial hypertension and atherosclerosis, following uneventful laparoscopic cholecystectomy. She developed gas gangrene of the abdominal wall 12-hours after cholecystectomy and died 24-hours after the onset of the first symptoms, in spite of treatment.
authors.affiliation: Clinical Hospital Center Rijeka, Department of Abdominal Surgery, Rijeka, Croatia. m_zelic@net.hr
authors.forename: M
authors.initials: M
authors.lastname: Zelić
authors.forename: L
authors.initials: L
authors.lastname: Kunisek
authors.forename: D
authors.initials: D
authors.lastname: Mendrila
authors.forename: M
authors.initials: M
authors.lastname: Gudelj
authors.forename: M
authors.initials: M
authors.lastname: Abram
authors.forename: M
authors.initials: M
authors.lastname: Uravić
mesh_terms: D034861:Abdominal Wall / Q000382:microbiology*; D050197:Atherosclerosis / Q000150:complications; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003015:Clostridium Infections / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D005738:Gas Gangrene / Q000382:microbiology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008875:Middle Aged