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Ann Thorac Surg 1978;25:71-73
© 1978 The Society of Thoracic Surgeons

Articles

Cecal Necrosis after Open-Heart Operation

W. Clark Hargrove, III, M.D., Ernest F. Rosato, M.D., Richard E. Hicks, M.D., James L. Mullen, M.D.*

Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.

Accepted for publication April 22, 1977.

* Address reprint requests to Dr. Mullen, 3400 Spruce St, Philadelphia, PA 19104

Two patients with isolated transmural ischemic necrosis of the cecum after cardiopulmonary bypass are discussed. Superimposed upon the multiple cardiovascular abnormalities in these patients, cardiopulmonary bypass adds another risk factor for nonocclusive intestinal infarction. In patients undergoing open-heart procedures, postoperative nonspecific abdominal complaints should be evaluated with a high degree of suspicion for this lethal complication. An intensive diagnostic effort is indicated, including contrast and angiographic radiological studies. Consideration of early abdominal exploration is indicated.






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Copyright © 1978 by The Society of Thoracic Surgeons.