Shock séptico de foco urinario abdominal post cirugía renal

Claudia Gabriela Clavijo Rosales; Paula Cristina Abad Arias; Johanna Gabriela Alvarez Ordoñez; Melany Tatiana Pacheco Peláez; Robinson Sebastián Ormaza Arévalo

doi:10.56294/saludcyt2023227

Case Report

Published: 2022-03-13

DOI: https://doi.org/10.56294/saludcyt2023227

Septic shock of abdominal urinary focus after renal surgery

Abstract

Introduction: The next case report corresponds to a female patient of 30 years and 12 days old from the canton of La Troncal and mixed ethnicity on admission to the right lumbar fossa with the presence of a 5 cm orifice with a large amount of fetid purulent content that evolves to a diagnosis of septic shock of urinary vs. abdominal origin, acute perforated abdomen and retroperitoneal collection, for which on November 30, 2022 an exploratory laparotomy, ileostomy, right hemicolectomy, right nephrectomy, retroperitoneal collection drainage and drain placement were performed. Jackson Pratt's patient remains under sedoanalgesia with midazolam and fentanyl RASS -4. She is coupled to mechanical ventilation, afebrile with antibiotic therapy with meropenem and vancomycin, who presents elevated acute phase reactants with rising leukocytosis and neutrophilia. In addition, the culture revealed the presence of Gram-negative bacilli in the surgical wound.
Case report: to present a complex clinical case where the post-surgical patient's condition was complicated, causing septic shock
Conclusion: post-surgical complications are rare; however, they can be deadly and very complicated to treat, which urges health professionals to take the necessary measures to minimize this postoperative risk.

Keywords:

septic shock,

nephrolithotomy,

multiorgan failure,

infiltrate,

How to Cite

Clavijo Rosales CG, Abad Arias PC, Alvarez Ordoñez JG, Pacheco Peláez MT, Ormaza Arévalo RS. Septic shock of abdominal urinary focus after renal surgery. Salud, Ciencia y Tecnología [Internet]. 2022 Mar. 13 [cited 2024 Apr. 20];3:227. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/227

Copyright Notice

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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