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Concealed mesenteric ischemia after total knee arthroplasty:A case report
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作者 Sheng-Yang Zhang Bang-Jian He +4 位作者 Hui-Hui Xu Miao-Miao Xiao Jing-Jing Zhang Pei-Jian Tong Qiang Mao 《World Journal of Clinical Cases》 SCIE 2021年第22期6515-6521,共7页
BACKGROUND In critical care medicine,mesenteric ischemia(MI)is a life-threatening disease that can be present in both critically ill patients and those undergoing major surgery.For the first time,we report a case of c... BACKGROUND In critical care medicine,mesenteric ischemia(MI)is a life-threatening disease that can be present in both critically ill patients and those undergoing major surgery.For the first time,we report a case of concealed MI with a long course after knee arthroplasty.CASE SUMMARY A male patient underwent left total knee arthroplasty for gouty arthritis and developed a persistent fever and persistently high levels of serum infection markers after surgery.He was considered to have a periprosthetic site infection and treated with antibiotics and colchicine,periprosthetic debridement was performed,and the spacer was replaced,but no improvement was seen.At 54 d after arthroplasty,the patient developed gastrointestinal symptoms of nausea and vomiting,abdominal distention,and subsequently,cloudiness of consciousness,and hypotensive shock.Finally,the patient was diagnosed with ascending colonic mesentery ischemia with necrosis after laparotomy,which improved after right hemicolectomy.CONCLUSION Concealed MI without gastrointestinal symptoms after major surgery is rare and easily misdiagnosed.Orthopedic surgeons need to be aware of this complication. 展开更多
关键词 Concealed mesenteric ischemia Total knee arthroplasty COMPLICATION Case report
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