Shaikh Nissar, Rahman Husham Abdul, Hanssens Yolande, John Sunil
Department of Anesthesia and ICU, Hamad Medical Corporation, Doha, Qatar.
J Emerg Trauma Shock. 2011 Jul;4(3):418-20. doi: 10.4103/0974-2700.83877.
Gallstone disease is one of the most common problems affecting the digestive tract. Symptomatic patients are advised to undergo laparoscopic cholecystectomy (LC), which is considered the gold standard of care in these patients. LC has clear advantages over traditional surgery such as a shorter hospital stay, an earlier return to work and better patient satisfaction. Despite LC being a common surgical procedure, it is not totally free from complications. These include cardiorespiratory problems, biliary leakage, peritonitis, hemorrhage and superior mesenteric artery (SMA) occlusion. We report an unusual and fatal complication of LC, being SMA thrombosis complicated by multiple intra-abdominal collections, abdominal compartment syndrome, multiorgan failure and septic shock.
胆结石病是影响消化道的最常见问题之一。有症状的患者建议接受腹腔镜胆囊切除术（LC），这被认为是这些患者的护理金标准。与传统手术相比，LC具有明显优势，如住院时间更短、更早恢复工作以及患者满意度更高。尽管LC是一种常见的外科手术，但它并非完全没有并发症。这些并发症包括心肺问题、胆漏、腹膜炎、出血和肠系膜上动脉（SMA）闭塞。我们报告了一例LC罕见的致命并发症，即SMA血栓形成并发多处腹腔积液、腹腔间隔室综合征、多器官功能衰竭和感染性休克。
