Is abdominal pain after an injury just an injury? Case report of rare aspiration pneumonia with lung gangrene and peritoneal response in a 5-year-old child
Authors:
Ján Hrubovčák 1; Ubomír Tulinský 1; Peter Ihnát 1; Petr Jelínek 1; Ivana Slívová 1; Marcel Mitták 1; Jan Roman 1; Jan Stránský 2
Authors‘ workplace:
Chirurgická klinika LF UO a FN Ostrava
1; Klinika úrazové chirurgie a ortopedie LF UO a FN Ostrava
2
Published in:
Čas. Lék. čes. 2023; 162: 160-163
Category:
Case report
Overview
Although pneumonia presents a relatively common diagnosis, it does not always present with classic clinical symptoms, nor does it follow a regular course without complications. The presented case describes a rare case of aspiration necrotizing pneumonia, which despite intensive therapy, progressed to lung gangrene and required a lung lobectomy. Another peculiarity is that the correct diagnosis was established only after the onset of abdominal pain, surprisingly by a trauma surgeon. This case emphasizes the necessity of a thorough general examination and draws attention to a rare, but conservatively intractable necrotizing pneumonia complicated by lung gangrene.
Keywords:
acute abdomen – Pediatrics – Abdominal pain – Lobectomy – necrotizing pneumonia
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
2023 Issue 4
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