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Abdominal wall metastases following laparoscopy

✍ Scribed by A. Prasad; C. Avery; R. J. E. Foley

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
138 KB
Volume
81
Category
Article
ISSN
0007-1323

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✦ Synopsis

1697

second intervention was performed, at which two small intestinal perforations were observed. A partial resection with ileostomy was performed. In the following weeks, the extension of cellulitis with profound myonecrosis led to multiple interventions for tissue excision. Skin and muscle cultures yielded Morganella morgani.

After 3 weeks of intravenous antibiotics (cefotaxime plus ciprofloxacin) and numerous surgical interventions, the patient was eventually cured.

Occult intestinal perforation during laparoscopy is rare2, but severe myonecrosis can follow unrecognized bowel injury.

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