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Fækulom hos ældre patienter er en potentielt alvorlig tilstand

Søren Kabell Nissen1, Morten Roos Stenberg2 & Jesper Ryg2, 3 1) Medicinsk Afdeling, Odense Universitetshospital, Svendborg Sygehus 2) Geriatrisk Afdeling, Odense Universitetshospital 3) Klinisk Institut, Syddansk Universitet Ugeskr Læger 2017;179:V05170390
Ugeskr Læger 2017;179:V05170390
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Faecal impaction in elderly patients is a potential severe condition
This case report presents an old hemiparetic male admitted to hospital from nursing home due to dark-coloured emesis. Transdermal buprenorphine 5 mcg/h had been instigated without laxatives in the preceding month. Upon arrival, an enlarged tense abdomen was found. A CT-scan dem­on­strated a 19 cm wide faecal colon impaction. Limited effect of enemas and endoscopic disimpaction resulted in surgery. The patient died shortly after discharge. The case stresses the prevention of constipation when using opioids; in particular in immobilized patients.
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