8 results for “acute gastric distension”
15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…
HM, a 15-year-old boy with suspected autism spectrum disorder and depression, died from spontaneous gastric perforation with early peritonitis secondary to acute gastric distension. He had dysfunctional eating pat…
57y · Male·sepsis and multiple organ failure secondary to aspiration pneumonia
…a small bowel ileus after presenting with vomiting and diarrhoea. Following emergency laparotomy, his nasogastric tube was dislodged on 29 August and not reinserted during the morning ward round despite clinical stabili…
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…y endotracheal tube positioning: continuous capnography was disconnected during resuscitation, abdominal distension suggesting possible oesophageal intubation was not adequately investigated, and the tube's position was …
74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …
William Searle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons involve reco…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
…ty, vascular disease, hypertension, and prior Nissen fundoplication, underwent placement of a second intragastric balloon on 11 September 2008 for weight loss prior to hernia repair. On 30 January 2009, she presented wi…
59y · Male·Massive aspiration in the setting of intubation following complications of sever…
…n aetiology. He had documented constipation managed with laxatives, then developed progressive abdominal distension, reduced oral intake, and fever. A MET call was initiated for tachycardia and tachypnoea; he was transfe…
58y · Male·Aspiration pneumonia complicating small bowel obstruction in the setting of rece…
…al cancer. On post-operative day 6, he developed fever, tachycardia, and hypoxia. A surgeon attempted nasogastric tube (NGT) insertion to relieve abdominal distension, but the patient vomited during the procedure and lo…
61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…
…Clinical lessons include: difficulty detecting post-operative deterioration in obese patients (abdominal distension may not be apparent, classic peritonitis signs may be absent); the importance of communication between n…
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