Ristilloftblöðrur : sjúkratilfelli á fæðingardeild Fjórðungssjúkrahússins á Akureyri

• Main Authors: Inga María Jóhannsdóttir, Nick Cariglia, Jónas Franklín
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Ristilsjúkdómar; Pneumatosis Cystoides Intestinalis; Iceland; Akureyri; Konan; Smella
• Online Access: http://hdl.handle.net/2336/64515

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open A 36 year old woman, pregnant 41 weeks and two days was admitted to the hospital in labour. The course was slow, foetal distress was seen with foetal heart monitoring. Cesarean section was performed and a healthy boy delivered. Three days later she developed abdominal pain and passed extensive flatus. Fever was 39°C rectally. Abdominal x-ray showed signs of mechanical ileus and laparotomy was performed. Appendix was swollen and therefore removed. Post operatively the woman developed massive diarrhea. Acute colonoscopy showed air-filled vesicles in distal colon, macroscopically diagnosed as pneumatosis coli. The treatment was 50% oxygen initially but was increased to 70% because of slow improvement. P02 was kept at 250-300 Hg and colonoscopy on the 24th day showed almost full recovery. Discussion: Pneumatosis cystoides intestinalis is a rare, benign disease, characterized by subserosal/ submucosal vesicles, varying in size and number. Aetiology is unknown but it has been associated with some gastrointestinal diseases, abdominal surgery, and lung diseases. The pathology is unknown but three main theories exist. Symptoms can be abdominal pain, diarrhea, flatus and rectal bleeding. Diagnosis is by x-ray, CT scan or colonoscopy. Treatment is high oxygen doses for one to two weeks but if another disease is underlying surgery might be needed. The prognosis is good but a certain chance of relapse exists. Þrjátíu og sex ára gömul kona, gengin rúmlega 41 viku kom á fæðingardeild Fjórðungssjúkrahússins á Akureyri með hríðarverki. Fæðing gekk hægt og þurfti að framkvæma keisaraskurð. Þremur dögum síðar fékk konan kviðverki og mikinn vindgang. Hiti mældist 39°C. Röntgenmynd af kvið vakti grun um garnastíflu og var því gerður kviðarholsskurður og bólginn botnlangi fjarlægður. Eftir það hafði konan mikinn niðurgang. Ristilspeglun sýndi loftfylltar blöðrur í fall- og bugaristli. Konunni var gefið 70% súrefni á maska og hurfu ...