Unusual Abdominal Complications of a Suicidal Overdose of Analgesic and Psychotropic Drugs in an Elderly Patient
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ID: 271056
1978
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A suicidal 67-year-old woman with manic-depressive psychosis took an overdose of aspirin, amitriptyline and diazepam. The initial effects were pyrexia, tachycardia, hyperpnea, metabolic acidosis, electrocardiographic changes, hypo-prothrombinemia, gastritis, and pancreatitis. Four to six weeks later, she was examined because of persistent abdominal pain with nausea, anorexia, anemia, and possibly a malabsorption syndrome. An exploratory laparotomy was performed. The surgeon found several adhesions, a small intestinal volvulus, and a nodular pancreas. This suggested previous perforation of the small bowel from enteritis, causing a “blind-loop” syndrome. The involved section of the small bowel was resected. With appropriate treatment, the patient is well three months after operation.
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| Authors | D. Mehta,S. Mehta,P. Mathew,D. Mehta Mrcp,S. Mehta DPM;D. Mehta;S. Mehta;P. Mathew;D. Mehta Mrcp;S. Mehta DPM; |
| Journal | Journal of the American Geriatrics Society |
| Year | 1978 |
| DOI | 10.1111/j.1532-5415.1978.tb01955.x |
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