Ovarian cyst rupture – a benign disease?

1. Catedra ATI, Universitatea de Medicină şi Farmacie, Cluj-Napoca
2. Clinica Chirurgie III, U.M.F Cluj-Napoca
3. Spitalul Judeţean Cluj-Napoca
4. Clinica A.T.I., Spitalul Clinic de Adulţi Cluj-Napoca
5. Clinica Chirurgie Plastică şi Reparatorie, Cluj-Napoca
6. Clinica Boli Infecţioase, Universitatea de Medicină şi Farmacie, Cluj-Napoca
7. Catedra Psihiatrie, Universitatea de Medicină şi Farmacie, Cluj-Napoca

Abstract

The case of a 21 year old patient is presented. She was admitted to our hospital with a diagnosis of pelvic peritonitis and was proposed for an emergency surgical intervention. The preoperative blood tests revealed renal failure, pronounced hypokaliemia, coagulation disorders and elevated hepatic enzymes. The immediate postoperative course was unfavorable with respiratory failure for which the patient was intubated and ventilated and a cardiac arrest from which she was succesfully resuscitated. After an extended screening the patient was diagnosed with Coxsackie B infection and a nervous anorexia which was the main cause for renal failure and hypokaliemia. The patient was extubated and gradually improved. In the subsequent evolution she developed a nosocomial sepsis with Acinetobacter spp and probably a tuberculosis infection. Two plastic surgical interventions were necessary to repair a decubitus sore. After a favourable evolution the patient was discharged, 80 days after admission, with the recommendation to continue treatment for Mycobacterium tuberculosis and for the psychiatric disorder.

Key words: hypokaliemia, anorexia, fever, reccurent pleural effusions, Coxackie v.

Chist ovarian rupt – o afecţiune benignă?

Jurnalul Român de Anestezie Terapie intensivă 2006 Vol.13 Nr.2, 132-136