Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/7175381 |
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| _version_ | 1832559371989549056 |
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| author | Jayan George Michael Peirson Samuel Birks Paul Skinner |
| author_facet | Jayan George Michael Peirson Samuel Birks Paul Skinner |
| author_sort | Jayan George |
| collection | DOAJ |
| description | We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect. |
| format | Article |
| id | doaj-art-c7a7976f5f2848529c21b4dc8f8070bd |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-c7a7976f5f2848529c21b4dc8f8070bd2025-02-03T01:30:14ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/71753817175381Managing a Colonoscopic Perforation in a Patient with No Abdominal WallJayan George0Michael Peirson1Samuel Birks2Paul Skinner3Department of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKDepartment of General Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UKWe describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.http://dx.doi.org/10.1155/2018/7175381 |
| spellingShingle | Jayan George Michael Peirson Samuel Birks Paul Skinner Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall Case Reports in Surgery |
| title | Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall |
| title_full | Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall |
| title_fullStr | Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall |
| title_full_unstemmed | Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall |
| title_short | Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall |
| title_sort | managing a colonoscopic perforation in a patient with no abdominal wall |
| url | http://dx.doi.org/10.1155/2018/7175381 |
| work_keys_str_mv | AT jayangeorge managingacolonoscopicperforationinapatientwithnoabdominalwall AT michaelpeirson managingacolonoscopicperforationinapatientwithnoabdominalwall AT samuelbirks managingacolonoscopicperforationinapatientwithnoabdominalwall AT paulskinner managingacolonoscopicperforationinapatientwithnoabdominalwall |