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An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis
We present a case of an unexpected cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis who required an operation. A 79-year-old lady was being worked up and treated for encephalitis with antibiotics and an antiviral. On Day 13, she developed abdominal pai...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792076/ https://www.ncbi.nlm.nih.gov/pubmed/31632635 http://dx.doi.org/10.1093/jscr/rjz267 |
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author | Seomangal, Karishma Bashir, Yasir Boland, Michael Neary, Paul |
author_facet | Seomangal, Karishma Bashir, Yasir Boland, Michael Neary, Paul |
author_sort | Seomangal, Karishma |
collection | PubMed |
description | We present a case of an unexpected cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis who required an operation. A 79-year-old lady was being worked up and treated for encephalitis with antibiotics and an antiviral. On Day 13, she developed abdominal pain, and an ultrasound showed cholelithiasis but no cholecystitis; thus conservative treatment was advocated. By Day 18, pain localized to the right iliac fossa, and she had an emergency laparotomy that showed bowel ischemia and perforation of the caecum with the cause being a terminal ileal adhesional band. An extended right hemicolectomy and ileostomy was performed. Patients with significant comorbidities who are intensive care unit-dependent may still have unexpected clinical challenges. We advocate an increased clinical vigilance in this cohort for unexpected life-threatening presentations such as bowel ischemia and more specifically the cause of the bowel ischemia. |
format | Online Article Text |
id | pubmed-6792076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-67920762019-10-18 An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis Seomangal, Karishma Bashir, Yasir Boland, Michael Neary, Paul J Surg Case Rep Case Report We present a case of an unexpected cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis who required an operation. A 79-year-old lady was being worked up and treated for encephalitis with antibiotics and an antiviral. On Day 13, she developed abdominal pain, and an ultrasound showed cholelithiasis but no cholecystitis; thus conservative treatment was advocated. By Day 18, pain localized to the right iliac fossa, and she had an emergency laparotomy that showed bowel ischemia and perforation of the caecum with the cause being a terminal ileal adhesional band. An extended right hemicolectomy and ileostomy was performed. Patients with significant comorbidities who are intensive care unit-dependent may still have unexpected clinical challenges. We advocate an increased clinical vigilance in this cohort for unexpected life-threatening presentations such as bowel ischemia and more specifically the cause of the bowel ischemia. Oxford University Press 2019-10-14 /pmc/articles/PMC6792076/ /pubmed/31632635 http://dx.doi.org/10.1093/jscr/rjz267 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Seomangal, Karishma Bashir, Yasir Boland, Michael Neary, Paul An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title | An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title_full | An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title_fullStr | An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title_full_unstemmed | An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title_short | An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
title_sort | unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792076/ https://www.ncbi.nlm.nih.gov/pubmed/31632635 http://dx.doi.org/10.1093/jscr/rjz267 |
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