title: An unusual presentation of a rare disease: posterior reversible encephalopathy syndrome following abdominal sepsis.
abstract: Posterior reversible encephalopathy syndrome (PRES) is an unusual disease of unknown incidence and cause. There are a wide range of associated, predisposing medical causes to include pregnancy, renal failure, immunosuppressive medication administration and hypertension. The diagnosis is made following the radiographic identification of characteristic vasogenic edema in the setting of neurologic impairment. A significant portion of patients will have long-term, if not permanent, sequelae of the disease. We present a patient who developed PRES following a hemicolectomy that was complicated by an anastomotic leak. She went on to a complete recovery following surgical treatment of the leak and supportive care.
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA carly.noel.richards@gmail.com.
authors.forename: Carly R N
authors.initials: CR
authors.lastname: Richards
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA.
authors.forename: Robert C
authors.initials: RC
authors.lastname: McMurray
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA.
authors.forename: Erik T
authors.initials: ET
authors.lastname: Criman
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Clark
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Gillern