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

 Hyo Chae Paik  ;  Do Hyung Kim  ;  Doo Yun Lee  ;  Dong Sup Yoon  ;  Jae Hoon Lee 
 Yonsei Medical Journal, Vol.44(6) : 1094-1097, 2003 
Journal Title
 Yonsei Medical Journal 
Issue Date
Adult ; Heart-Lung Transplantation/adverse effects* ; Humans ; Male ; Peptic Ulcer Perforation/etiology* ; Peptic Ulcer Perforation/surgery* ; Stomach Ulcer/surgery*
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.
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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)
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