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Gastric ulcer perforation in heart-lung transplant patient: a successful case of early surgical intervention and management

Authors
 Hyo Chae Paik  ;  Do Hyung Kim  ;  Doo Yun Lee  ;  Dong Sup Yoon  ;  Jae Hoon Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.44(6) : 1094-1097, 2003 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2003
MeSH
Adult ; Heart-Lung Transplantation/adverse effects* ; Humans ; Male ; Peptic Ulcer Perforation/etiology* ; Peptic Ulcer Perforation/surgery* ; Stomach Ulcer/surgery*
Abstract
Gastrointestinal complications may follow organ transplantation. A patient who underwent heart lung transplantation due to patent ductus arteriosus and Eisenmenger's syndrome had an episode of acute cardiac rejection and was treated with a bolus injection of methylprednisolone followed by a high oral dose of prednisone. On the 22nd postoperative day, the patient complained of acute abdominal pain with muscular rigidity and a plain chest x-ray showed free air in the right subdiaphragmatic area. Under the suspicion of bowel perforation, an emergency laparotomy was performed and the perforated stomach had a wedge-shaped resection that included the perforation. Following the laparotomy, the postoperative course was uneventful and the patient was discharged on post-laparotomy day 10.
Files in This Item:
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DOI
10.3349/ymj.2003.44.6.1094
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Hyung(김도형)
Paik, Hyo Chae(백효채) ORCID logo https://orcid.org/0000-0001-9309-8235
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Lee, Doo Yun(이두연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/166176
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