AI Article Synopsis
- A 40-year-old woman underwent a double lung transplant due to pulmonary hypertension caused by pulmonary veno-occlusive disease and mixed connective tissue disease.
- Six days after surgery, she experienced severe abdominal pain and a CT scan revealed emphysematous gastritis and ischemia, leading to an emergency total gastrectomy.
- Following the gastrectomy, she had minor bleeding at the surgical site but showed favorable recovery, being discharged from the ICU on day 34 and the hospital two months post-surgery.
Article Abstract
We present a case of a 40-year-old woman with double-lung transplant with extracorporeal circulation (EC) due to pulmonary hypertension (pulmonary veno-occlusive disease form (PVOD)) secondary to mixed connective tissue disease (MCTD). On day 6 postoperatively, abdominal pain and distension was noticed, since abdominal CT scan was performed, showing emphysematous gastritis with gastric wall ischemia and peritonitis. Therefore, emergent surgery was proposed. By open surgery approach, a total gastrectomy with Roux-en-Y and esophagojejunal anastomosis was performed. On day 6 after gastrectomy, intraluminal bleeding of the esophagojejunal anastomosis was detected in control CT, which was not need any aggressive treatment. Postoperative evolution was favourable, being discharged from the intensive care unit on the day 34 and from the hospital two months later.
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| http://dx.doi.org/10.17235/reed.2023.9806/2023 | DOI Listing |
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