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Images in emergency medicine
Laparotomy for treatment of seizures
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A 57-year-old man self-referred to the emergency department. Upon arrival he had a grand mal seizure followed by a cardiac arrest. Cardiac output was promptly restored. As seizures continued infusions of propofol, midazolam and phenytoin were started. Empirical aciclovir and ceftriaxone were also given. A head CT and lumbar puncture were non-diagnostic. An amylase of 795 IU/l precipitated an abdominal CT scan (figs 1A and B).
Figure 1 Abdominal slices of (A) the stomach and (B) the colon and rectum.
The contrast-enhanced CT …
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Competing interests: None.
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2008 BMJ Publishing Group Ltd and the British Association for Emergency Medicine