tailieunhanh - Báo cáo y học: " Retained drains causing a bronchoperitoneal fistula: a case report."

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Retained drains causing a bronchoperitoneal fistula: a case report. | Pesce et al. Journal of Medical Case Reports 2011 5 185 http content 5 1 185 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Retained drains causing a bronchoperitoneal fistula a case report thdrind Peer d1 .ìmI IŨ it l rtal ar inr r2 T Ptrrsn3 Alicia A ũ iiri ũr4 a erI ITmt Qtdx cmc3 Catherine resic Samuel M Galvagno JI David I Efron Alicia A KieiHiiyei and Kent Stevens Abstract Introduction Bronchoperitoneal fistulas are extremely rare. We present a case where retained surgical drains from a previous surgery resulted in erosion and fistula formation. This condition required an extensive surgical procedure and advanced ventilator techniques. Case presentation A 24-year-old African-American man presented to our Emergency Department with a one-week history of fever dyspnea cough and abdominal pain. A computed tomography scan of his chest and abdomen revealed bilateral lower lobe pneumonia and two retained Jackson-Pratt drains in the right upper quadrant. He was taken to the operating room for drain removal a right hemicolectomy debridement of a duodenal injury a Roux-en-y duodenojejunostomy and an end ileostomy. He subsequently became increasing hypoxemic in the intensive care unit and a bronchoperitoneal fistula was diagnosed. He required high-frequency oscillatory ventilation followed by lung isolation and was successfully resuscitated using these techniques. Conclusion To the best of our knowledge this is the first known case report of a bronchoperitoneal fistula caused by retained surgical drains. Ihis is also the first known report that details successful management of this condition with advanced ventilatory techniques. This case highlights the importance of follow-up for trauma patients since retained surgical drains have the potential to cause life-threatening complications. When faced with this condition clinicians should be aware of advanced ventilatory methods that can be employed in the intensive care unit. In this .

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