Yonsei Med J.
2003 Dec;44(6):1094-1097. 10.3349/ymj.2003.44.6.1094.
Gastric Ulcer Perforation in Heart-Lung Transplant Patient: A Successful Case of Early Surgical Intervention and Management
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea. hcpaik@yumc.yonsei.ac.kr
- 2Department of General Surgery, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 1091055
- DOI: http://doi.org/10.3349/ymj.2003.44.6.1094
Abstract
- 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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