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Hyperamylasaemia and ischaemic colitis.

Kum F, Gulati A, Hussain A - Int J Surg Case Rep (2013)

Bottom Line: Symptoms did not resolve with conservative management, therefore laparotomy+Hartmann's procedure was performed.Amylase is an indicator of intra-abdominal inflammatory processes.Intestinal ischaemia is a serious acute abdominal pathology that is associated with hyperamylasaemia, and frequently requires prompt surgical intervention to prevent subsequent mortality.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Princess Royal University Hospital, Farnborough Common BR6 8ND, United Kingdom. Electronic address: francesca.kum@doctors.org.uk.

No MeSH data available.


Related in: MedlinePlus

Chest X-ray showing mild bi-basal shadowing, but no evidence of bowel perforation.
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fig0005: Chest X-ray showing mild bi-basal shadowing, but no evidence of bowel perforation.

Mentions: Conservative management was started, consisting of intravenous fluid resuscitation, antibiotics, nil-by-mouth, nasogastric-tube insertion, urinary catheterization and close observation. Chest X-ray did not show any sign of perforation (Fig. 1). An urgent CT scan reported circumferential bowel wall thickening in the descending and sigmoid colon and pneumatosis, indicative of possible transmural infarction (Fig. 2). Flexible sigmoidoscopy and subsequent colonoscopy (Fig. 3) found ischaemic colitis of the sigmoid colon characterised by sloughy mucosa and ulceration.


Hyperamylasaemia and ischaemic colitis.

Kum F, Gulati A, Hussain A - Int J Surg Case Rep (2013)

Chest X-ray showing mild bi-basal shadowing, but no evidence of bowel perforation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921654&req=5

fig0005: Chest X-ray showing mild bi-basal shadowing, but no evidence of bowel perforation.
Mentions: Conservative management was started, consisting of intravenous fluid resuscitation, antibiotics, nil-by-mouth, nasogastric-tube insertion, urinary catheterization and close observation. Chest X-ray did not show any sign of perforation (Fig. 1). An urgent CT scan reported circumferential bowel wall thickening in the descending and sigmoid colon and pneumatosis, indicative of possible transmural infarction (Fig. 2). Flexible sigmoidoscopy and subsequent colonoscopy (Fig. 3) found ischaemic colitis of the sigmoid colon characterised by sloughy mucosa and ulceration.

Bottom Line: Symptoms did not resolve with conservative management, therefore laparotomy+Hartmann's procedure was performed.Amylase is an indicator of intra-abdominal inflammatory processes.Intestinal ischaemia is a serious acute abdominal pathology that is associated with hyperamylasaemia, and frequently requires prompt surgical intervention to prevent subsequent mortality.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Princess Royal University Hospital, Farnborough Common BR6 8ND, United Kingdom. Electronic address: francesca.kum@doctors.org.uk.

No MeSH data available.


Related in: MedlinePlus