Review article
https://doi.org/10.26800/LV-145-supl4-9
Clostridial gas gangrene after laparoscopic cholecystectomy: the role of SARS-CoV-2 virus – a case report and review of literature
Nataša Dropulić
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Klinički bolnički centar Split
Sanda Stojanović Stipić
Mileva Frankić
Ivan Agnić
Darko Ilić
Abstract
Clostridium gas gangrene is fast-spreading necrotic infection of soft tissue relevant to high mortality rates. It is a rare complication after laparoscopic cholecystectomy. We present a case of a 68-year old woman who developed clostridial gas gangrene after laparoscopic cholecystectomy. The patient didn’t have have any comorbidity except SARS CoV-2 infection with mild respiratory symptoms 14 days ago. The infection developed immediately after the operation causing gangrene of the abdominal wall, septic shock and multi-organ failure.
Although the patient was treated with appropriate and prompt antibiotic therapy and thorough surgical debridement and with other supportive measures, outcome was lethal. Based on this case we ask ourselves: Could the SARS CoV-2 virus initiate lethal cascade and should we change the outcome if we postponed the operation?
Keywords
CLOSTRIDIUM GAS GANGRENE; LAPAROSCOPIC CHOLECYSTECTOMY; SARS COV-2; SEPTIC SHOCK
Hrčak ID:
310063
URI
Publication date:
20.11.2023.
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