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2019, Number S1

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Cir Cir 2019; 87 (S1)

Secondary colonic necrosis. Case report

Aburto-Fernández MC, Araujo-López A, García-Godoy IU, Alvarado-González A, Gutiérrez-Samperio JL, Álvarez-Manila de Orendáin A, Romero OMA, Arteaga-Villalba LR, Herrera-Díaz A, Jiménez-Ríos CO, Lerma-Alvarado RM

Language: Spanish
References: 11
Page: 33-37
PDF size: 346.93 Kb.


ABSTRACT

Background: Colonic vascular lesion secondary to verapamil overdose is mediated by free radicals, forming vascular microtrombos and endotoxin generation, being a difficult diagnosis. Clinical Case: A 27-year-old female is admitted with an acute abdomen of 4 days after an event referred for a suicidal attempt due to an overdose of verapamil, operating surgically where there is a right transmural colon necrosis, performing a right hemicolectomy with terminal ileostomy. Conclusions: Recognize and properly treat an acute abdomen, not always reach an adequate diagnosis, so a thorough history could conclude.


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