[Faecal impaction in elderly patients is a potential severe condition].
作者信息
Nissen Søren Kabell, Stenberg Morten Roos, Ryg Jesper
出版信息
Ugeskr Laeger. 2017 Dec 18;179(51).
PMID:29260692
Abstract
This case report presents an old hemiparetic male admitted to hospital from nursing home due to dark-coloured emesis. Transdermal buprenorphine 5 mcg/h had been instigated without laxatives in the preceding month. Upon arrival, an enlarged tense abdomen was found. A CT-scan dem-on-strated a 19 cm wide faecal colon impaction. Limited effect of enemas and endoscopic disimpaction resulted in surgery. The patient died shortly after discharge. The case stresses the prevention of constipation when using opioids; in particular in immobilized patients.
摘要
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