Open AccessPeritonite por bário
Author(s) -
Gerson Alves Pereira Júnior,
Thiago Florentino Lascala,
José Ivan de Andrade
Publication year - 1999
Publication title -
revista do colégio brasileiro de cirurgiões
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.341
H-Index - 21
eISSN - 1809-4546
pISSN - 0100-6991
DOI - 10.1590/s0100-69911999000500011
Subject(s) - medicine , laparotomy , peritoneal cavity , peritonitis , surgery , septic shock , barium meal , epigastric pain , extravasation , barium , sepsis , pathology , vomiting , inorganic chemistry , chemistry
We report a case of a 49 years-old man who underwent a barium meal examination for an epigastric pain. A perforated gastric ulcer with barium extravasation into peritoneal cavity was seen on X-rays. During an emergency laparotomy, a perforated pyloric ulcer was noted, along with barium contamination in the peritoneal cavity. The ulcer was closed with an omental patch and an extensive peritoneal lavage with saline was performed. During the postoperative period, the patient developed signs of peritonitis and underwent a new laparotomy was at the 9th day showing a subfrenic abscess with a large barium contamination. The patient presented septic shock and multiple organ failure. dying on the 21th day