Surgical repair of a liver injury in a patient: accompanied with tricuspid regurgitation

A 42-year-old man with acute myocarditis developed a right lung abscess and tricuspid regurgitation with valvular vegetations. A chest tube was inserted from the 8th intercostal space on the anterior axillary line to drain acute thoracic empyema caused by rupture of the lung abscess. Six hours after...

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Bibliographic Details
Published inHepato-gastroenterology Vol. 50; no. 50; p. 523
Main Authors Tanaka, Shogo, Hirohashi, Kazuhiro, Uenishi, Takahiro, Suehiro, Shigehumi, Shibata, Toshihiko, Kubo, Shoji, Tanaka, Hiromu, Shuto, Taichi, Takemura, Shigekazu, Kinoshita, Hiroaki
Format Journal Article
LanguageEnglish
Published Greece 01.03.2003
Subjects
Adult
Chest Tubes - adverse effects
Diaphragm - injuries
Heart Valve Prosthesis Implantation
Humans
Intraoperative Complications - surgery
Lacerations - etiology
Lacerations - surgery
Liver - injuries
Male
Suture Techniques
Thoracostomy - adverse effects
Tricuspid Valve Insufficiency - complications
Tricuspid Valve Insufficiency - surgery
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Summary:A 42-year-old man with acute myocarditis developed a right lung abscess and tricuspid regurgitation with valvular vegetations. A chest tube was inserted from the 8th intercostal space on the anterior axillary line to drain acute thoracic empyema caused by rupture of the lung abscess. Six hours after the insertion, the patient went into shock. Since abdominal ultrasonography showed intraabdominal bleeding, an urgent laparotomy was performed. A large amount of blood was present in the peritoneal cavity. Pulsatile bleeding from the hepatic laceration and penetration of diaphragm were observed. Mattress sutures were used to close the hepatic laceration and the rent in the right hemi-diaphragm. Because the patient was hemodynamically stable postoperatively tricuspid valvular replacement was performed 5 days after the laparotomy. Four months after valve replacement, the patient is in good condition without any complaints.
ISSN:0172-6390