Citation

Kaun M, Mailänder P, MacHens HG, Siemers F. Eur. J. Plast. Surg. 2010; 33(2): 79-82.

Copyright

(Copyright © 2010, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00238-009-0385-9

PMID

unavailable

Abstract

Acute intestinal ischemia represents a rare but often fatal disease. In retrospective analysis, up to 86% with this complication had a prior history of cardiovascular disease (Irvinen et al. Ann Chir Gynaecol 83:22-25, 1994). It is also a rare but well-known complication in severe thermally injured patients. Here, we describe our experience with this disease in our critically ill patients suffering from acute thermal injury. In a retrospective analysis of 634 patients who were treated at our burn care center, three patients were identified with intestinal ischemia. Two patients with non-occlusive disease during continuous veno-venous hemofiltration died, while one patient with arterial embolism in a superior mesenteric artery branch survived. Acute intestinal ischemia is a severe and life-threatening complication in thermally injured patients. It can occur even days after the acute trauma and diagnostic criteria are often insecure. © 2009 Springer-Verlag.

Language: en

Keywords

adult; human; burn; male; shock; aged; survival; case report; abdominal pain; Burn injury; suicide attempt; death; article; retrospective study; priority journal; carboxyhemoglobin; fever; liver; adrenalin; thorax; protein blood level; laparotomy; creatinine; creatinine blood level; low drug dose; Intensive care; abdominal distension; abdominal radiography; gasoline; oliguria; heparin; lactate blood level; amylase; amylase blood level; oxygen therapy; proton pump inhibitor; rare disease; surgical equipment; urine volume; continuous hemodiafiltration; tissue necrosis; thermal injury; body surface; arm; lung burn; myoglobin; aorta valve; intestine ischemia; intestine necrosis; thrombus; breathing; esophagogastroduodenoscopy; critically ill patient; lactic acid; colon resection; hemorrhagic gastritis; transesophageal echocardiography; jejunum; transverse colon; split thickness skin graft; defecation; acute intestine ischemia; artery embolism; ascending colon; heparinization; Intestinal ischemia; necrotizing enteritis; pneumatosis intestinalis; Ringer lactate solution; small intestine hemorrhage; superior mesenteric artery