This 81 y/o female patient is a case of bilateral rheumatoid arthritis s/p bilateral TKA.
Under patient statment and ER record.
She suffered from fever for one week and presented with diffuse abdominal pain since this morning.
She had visited to our ER for help.
The leukocytosis,CRP level 17.6mg/dl,and hypotension were noted.
The abdominal CT revealed air density in the anterior perihepatior
space, extravasation of contrast medium(possibly in stomach level)
and dirty mesentery are seen suggestive of hollow organ perforation.
The impression PPU with peritionitis and septic shock were informed.
The suggestion of exploratory laparotomy was informed.
Then she was admitted to our ward for further evaluation and management.
- 心蓮Lv 51 decade agoFavorite Answer