Abdominal complications following cardiac surgery are rare events,but can be fatal if not diagnosed and managed in time.Aggressive treatments offer a better chance for survival in patients with risk factors.This case ...Abdominal complications following cardiac surgery are rare events,but can be fatal if not diagnosed and managed in time.Aggressive treatments offer a better chance for survival in patients with risk factors.This case report describes the clinical presentation and details of 3 recently operated patients who suffered acute abdominal pain after cardiac surgery.The underlying causes were Crohn disease-associated ileal perforation,intestinal necrosis,and diverticulitis-associated colonic perforation.The presentation and management of these severe conditions are discussed.展开更多
Both empyema and type A aortic dissection are life-threatening conditions.The combination,though rare,can cause serious complications and death.There have been rare cases of empyema caused by a co-infection with a Gra...Both empyema and type A aortic dissection are life-threatening conditions.The combination,though rare,can cause serious complications and death.There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium,Granulicatella adiacens,which is difficult to identify,and a Gram-negative bacterium,Escherichia coli.In this case,a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection.The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated.Considering the possibility that the patient’s infection was of digestive origin,a combination of Gram-positive and Gram-negative antibiotics was given immediately.Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid,and the patient was successfully treated with antimicrobial therapy and conservative treatment.展开更多
文摘Abdominal complications following cardiac surgery are rare events,but can be fatal if not diagnosed and managed in time.Aggressive treatments offer a better chance for survival in patients with risk factors.This case report describes the clinical presentation and details of 3 recently operated patients who suffered acute abdominal pain after cardiac surgery.The underlying causes were Crohn disease-associated ileal perforation,intestinal necrosis,and diverticulitis-associated colonic perforation.The presentation and management of these severe conditions are discussed.
文摘Both empyema and type A aortic dissection are life-threatening conditions.The combination,though rare,can cause serious complications and death.There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium,Granulicatella adiacens,which is difficult to identify,and a Gram-negative bacterium,Escherichia coli.In this case,a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection.The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated.Considering the possibility that the patient’s infection was of digestive origin,a combination of Gram-positive and Gram-negative antibiotics was given immediately.Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid,and the patient was successfully treated with antimicrobial therapy and conservative treatment.
