Namendys Silva Silvio Antonio, Posadas Calleja Juan Gabriel, Domínguez Cherit Guillermo
Residente de Medicina Crítica, División de Medicina Crítica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán.
Rev Gastroenterol Mex. 2005 Jan-Mar;70(1):63-6.
We report an autoinmune myocarditis case as a complication of celiac disease in a 28 year old woman. She had a 15 month history or diarrhea. She suffered pelvic trauma due to an episode of syncope and was admitted with refractory shock to fluid repletion. At laparotomy, two moderate hematomas were found in the subcutaneous space and retroperitoneum. Later she developed hemodynamic instability requiring positioning of a Swan-Ganz pulmonary artery catheter that demonstrated pattern of cardiogenic shock. Echocardiography demonstrated dilation of all four cavities and 35% ejection fraction. Dobutamine and milrinone infusion was begun. Later, a new echocardiographic study show improvement in eyection fraction. She was discharged without complications.
我们报告一例28岁女性腹腔疾病并发症自身免疫性心肌炎病例。她有15个月的腹泻病史。因一次晕厥发作导致骨盆创伤，因补液后难治性休克入院。剖腹手术时，在皮下间隙和腹膜后发现两个中度血肿。后来她出现血流动力学不稳定，需要放置Swan-Ganz肺动脉导管，显示为心源性休克模式。超声心动图显示四个腔室均扩张，射血分数为35%。开始输注多巴酚丁胺和米力农。后来，一项新的超声心动图研究显示射血分数有所改善。她出院时无并发症。
