title: Colonic Perforation Caused by Methicillin-Resistant Staphylococcus aureus Enteritis After Total Gastrectomy: A Case Report.
abstract: A 68-year-old man underwent total gastrectomy and splenectomy for adenocarcinoma and low anterior resection for carcinoma in tubulo-villous adenoma of the rectum. Broad-spectrum antibiotics were administered for postoperative pancreatic fistula. Methicillin-resistant Staphylococcus aureus enteritis occurred on the 50th postoperative day and cecal perforation followed. The patient underwent construction of cecostomy with peritoneal drainage, and vancomycin was administered orally and per cecostomy for 2 weeks. The patient recovered well and was discharged at 35 days after re-operation in good general condition.
authors.affiliation: 1 Department of Surgery, Mashiko Hospital, Saitama, Japan.
authors.forename: Kenei
authors.initials: K
authors.lastname: Furukawa
authors.forename: Jun
authors.initials: J
authors.lastname: Tsutsumi
authors.forename: Sumio
authors.initials: S
authors.lastname: Takayama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mashiko
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Shiba
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000368:Aged; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology*; D004751:Enteritis / Q000175:diagnosis / Q000209:etiology*; D005743:Gastrectomy; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D011183:Postoperative Complications / Q000175:diagnosis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology*
keywords: Colonic perforation; Methicillin-resistant Staphylococcus aureus enteritis; Total gastrectomy