Perforations can occur in all organs forming the digestive tract. Patients can present to the intensive care unit (ICU) with a severe systemic inflammatory response syndrome or sepsis as a result of a perforated viscus. Alternatively, a perforation can develop in the course of a severe illness during ICU treatment, resulting in a deterioration for which the cause can be very difficult to determine. Causes of perforation and appropriate treatment strategies are summarized in T§bl§...,1.

Table 1 Synopsis of the cause of perforation and treatment strategy er organ

The most frequent cause of a perforated viscus is inflammation (large bowel, appendix, gallbladder) or erosion (peptic ulcer). However, perforations can be due to trauma, can be iatrogenic as a result of diagnostic interventions, or can be a postoperative complication due to anastomotic leakage ( Table .?).

Image available in print only

Table 2 Causes of perforation on ICU admission

Was this article helpful?

0 0
Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook

Post a comment