Peritonitis from small bowel anastomotic leak.

Submitted By: Humberto Arenas Marquez, MD, FACS

Year: 2010
Patient Age: 87

Male aged 87, antecedent of laringeal cancer with total laringectomy, during World War II laparotomy due to bullet wound

Decompressive laparotomy for peritonitis with abdominal compartment syndrome.

Submitted By: Robert Behm, MD

Year: 2010
Patient Age: 69

Patient History: 69-year-old female admitted to our facility after a seven-day history of abdominal pain associated with nausea, vomiting, and dehydration.

Large incarcerated umbilical hernia with small bowel, colon and gastric perforation.

Submitted By: Jonathan Yunis, MD, FACS

Year: 2006
Patient Age: 53

The patient is a 53 year old morbidly obese (BMI 44) woman with a 3 year history of an untreated umbilical hernia which she routinely reduced herself until the day of presentation when she developed fever, chills, nausea and vomiting and was unable to reduce her hernia sack contents. She presents with a clinical picture of sepsis.

Delayed primary closure of giant abdominal wall hernia and infected colostomy 8 months after massive trauma.

Submitted By: Lisa Patterson, MD, FACS

Year: 2001
Patient Age: 44

This 44 year old woman on steroids for COPD sustained a ruptured left hemidiaphragm, major splenic injury and a sigmoid colon mesenteric injury during an MVA. During the original admission she underwent damage control laparotomy with splenectomy and diaphragm repair.

Missed appendix perforation and severe abdominal compartment syndrome.

Submitted By: Dietmar Wittmann, MD, PhD, FACS

Year: 1999
Patient Age: 13

This 13 year old boy had an appendectomy 9 days after onset of symptoms, because his condition was misdiagnosed as influenza. Ten days after resection of the perforated appendix, peritonitis persisted and abdominal re-explorations through a midline incision for multiple intra-abdominal abscesses became necessary.

Billiary pancreatitis leading to abdominal compartment syndrome treated with four Gore-Tex sheets.

Submitted By: Dietmar Wittmann, MD, PhD, FACS

Year: 1998
Patient Age: 69

The patient was a 69 year old woman with hypertension who presents with biliary pancreatitis which caused abdominal compartment syndrome necessitating abdominal decompression with 4 GORE-TEX sheets. At time of transfer her Appache-II score was 25 with a predicted mortality of 70%.

Chronic Open Abdomen With Fistula.

Submitted By: Dietmar Wittmann, MD, PhD, FACS

Year: 1995
Patient Age: 63

Two years prior to transfer to our institution the patient underwent a Hartmann’s operation for diffuse peritonitis from perforated diverticular abscess of the sigmoid colon. Post operatively he required relaparotomy for persisting peritonitis with abdominal hypertension and the abdomen was left open. Once infection was controlled, multiple attempts to close the abdomen with various meshes failed and a bowel fistula developed.

Abdominal compartment Syndrome, Peritonitis.

Submitted By: Dietmar Wittmann, MD, PhD, FACS

Year: 1994
Patient Age: 42

42 Year old female - stomach wall necrosis with perforation after redo Nissen fundoplication and subsequent esophagojejunostomy with extensive dissection leading to massive abdominal edema.