T. Sugita et al., ACUTE EXTENSIVE NECROSIS OF THE VISCERAL ORGANS AFTER REPAIR OF A RUPTURED THORACIC AORTIC-ANEURYSM, Journal of Cardiovascular Surgery, 34(4), 1993, pp. 307-309
A 47-year-old woman was admitted to our hospital for repair of a ruptu
red thoracic aortic aneurysm. Her postoperative course was uneventful,
but she had persistent complaints of anorexia and general fatigue tha
t failed to improve. Thirty-one days after surgery, she complained of
severe abdominal pain. Abdominal computed tomography (CT) and X-ray re
vealed extensive necrosis of the visceral organs. She underwent emerge
ncy abdominal exploration and was found to have necrosis of the Liver,
gallbladder, stomach, entire small bowel and colon. The extensive nec
rosis made resection of the involved organs unfeasible. The patient di
ed one day after exploratory laparotomy.