Gupta Anupam K, Vazquez Oscar A, Burgos Monica I, Buicko Jessica, Lopez-Viego Miguel
Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.
Internal Medicine, Universidad Autonoma de Guadalajara, Guadalajara, MEX.
Cureus. 2020 Apr 18;12(4):e7720. doi: 10.7759/cureus.7720.
We present the case of a 75-year-old female with abdominal pain and a sudden change in mental status. She progressed rapidly with manifestations of acidosis without episodes of bloody bowel movements or diarrhea. The patient underwent emergent exploratory laparotomy, and a diagnosis of fulminant ischemic pancolitis was made with visual confirmation of infarcted colon from cecum to proximal rectum leading to subtotal colectomy and ileostomy. Postoperatively, the patient showed improved acidosis and mental status; unfortunately, over the subsequent days, the patient declined and was transferred to hospice and palliative care.
我们报告一例75岁女性患者，她有腹痛且精神状态突然改变。她病情迅速进展，出现酸中毒表现，无血便或腹泻发作。患者接受了急诊剖腹探查术，经肉眼确认从盲肠到直肠近端的结肠梗死，诊断为暴发性缺血性全结肠炎，随后行次全结肠切除术和回肠造口术。术后，患者酸中毒及精神状态有所改善；不幸的是，在随后的几天里，患者病情恶化，被转至临终关怀和姑息治疗机构。
