Gastric Ulcer Perforation in Heart-Lung Transplant Patient: A Successful Case of Early Surgical Intervention and Management.
10.3349/ymj.2003.44.6.1094
- Author:
Hyo Chae PAIK
1
;
Do Hyung KIM
;
Doo Yun LEE
;
Dong Sup YOON
;
Jae Hoon LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea. hcpaik@yumc.yonsei.ac.kr
- Publication Type:Case Reports
- Keywords:
Ulcer perforation;
heart-lung transplantation;
steroid pulse therapy;
acute abdomen;
free air
- MeSH:
Adult;
Heart-Lung Transplantation/*adverse effects;
Human;
Male;
Peptic Ulcer Perforation/*etiology/*surgery;
Stomach Ulcer/*surgery
- From:Yonsei Medical Journal
2003;44(6):1094-1097
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastrointestinal complications may follow organ transplantation. A patient who underwent heart lung transplantation due to patent ductus arteriosus and Eisenmenger's syndrome had an episode of acute cardiac rejection and was treated with a bolus injection of methylprednisolone followed by a high oral dose of prednisone. On the 22nd postoperative day, the patient complained of acute abdominal pain with muscular rigidity and a plain chest x-ray showed free air in the right subdiaphragmatic area. Under the suspicion of bowel perforation, an emergency laparotomy was performed and the perforated stomach had a wedge-shaped resection that included the perforation. Following the laparotomy, the postoperative course was uneventful and the patient was discharged on post-laparotomy day 10.
