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Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
ABURTO-FERNANDEZ, María del Carmen et al. Secondary colonic necrosis. Case report. Cir. cir. [online]. 2019, vol.87, suppl.1, pp.33-37. Epub 08-Fev-2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.18000656.
Background:
Colonic vascular lesion secondary to verapamil overdose is mediated by free radicals, forming vascular microtrombos and endotoxin generation, being a difficult diagnosis.
Clinical Case:
A 27-year-old female is admitted with an acute abdomen of 4 days after an event referred for a suicidal attempt due to an overdose of verapamil, operating surgically where there is a right transmural colon necrosis, performing a right hemicolectomy with terminal ileostomy.
Conclusions:
Recognize and properly treat an acute abdomen, not always reach an adequate diagnosis, so a thorough history could conclude.
Palavras-chave : Colonic vascularity; Verapamil; Acute abdomen.
