Alcohol is the most abused drug worldwide.[1] People who are addicted to alcohol tend to have many complications starting from malnutrition to complicating medical conditions including arrhythmias, congestive heart failure, coronary artery disease, gastrointestinal bleeding, infections, liver disease, nervous system impairment and pancreatitis.[2] Alcohol withdrawal syndrome consists of a range of signs and symptoms that typically develop in alcohol-dependent individuals in 6–24 h of their last drink.[3] It may occur unintentionally if abstinence is enforced by illness or injury or other causes. The symptoms range from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens.[2] Alcoholic patients with delirium tremens undergoing emergency surgical procedures has not been reported in the literature. Here, we report the successful management of a case of delirium tremens coming with hollow viscous perforation for exploratory laparotomy. Institutional ethical committee clearance and consent from the patient was obtained before reporting the case.
Alcohol is the most abused drug worldwide.[1] People who are addicted to alcohol tend to have many complications starting from malnutrition to complicating medical conditions including arrhythmias, congestive heart failure, coronary artery disease, gastrointestinal bleeding, infections, liver disease, nervous system impairment and pancreatitis.[2] Alcohol withdrawal syndrome consists of a range of signs and symptoms that typically develop in alcohol-dependent individuals in 6–24 h of their last drink.[3] It may occur unintentionally if abstinence is enforced by illness or injury or other causes. The symptoms range from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens.[2] Alcoholic patients with delirium tremens undergoing emergency surgical procedures has not been reported in the literature. Here, we report the successful management of a case of delirium tremens coming with hollow viscous perforation for exploratory laparotomy. Institutional ethical committee clearance and consent from the patient was obtained before reporting the case.
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