Internal medicine (Tokyo, Japan) · 2021
Hemodynamic Collapse Caused by Cardiac Dysfunction and Abdominal Compartment Syndrome in a Patient with Mitochondrial Disease.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Shiomura Reiko, Tara Shuhei, Ito Nobuaki, Watanabe Makoto, Arai Toshiki, Kobayashi Noriyuki, Wakita Masaki, Fujimoto Yuhi, Matsuda Junya, Nakata Jun, Yamamoto Takeshi, Shimizu Wataru
Аннотация
We herein report a case of mitochondrial disease with heart and intestinal tract involvement resulting in hemodynamic collapse. A 66-year-old woman was transferred to our hospital because of cardiogenic shock. Vasopressors were administered, and a circulatory support device was deployed. However, her hemodynamics did not improve sufficiently, and we detected abdominal compartment syndrome caused by the aggravation of chronic intestinal pseudo-obstruction as a complication. Insertion of a colorectal tube immediately decreased the intra-abdominal pressure, improving the hemodynamics. Finally, we diagnosed her with mitochondrial disease, concluding that the resulting combination of acute heart failure and abdominal compartment syndrome had aggravated the hemodynamics.