BMJ Case Reports 2009; doi:10.1136/bcr.2007.049221
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Laparotomy for treatment of seizures

  1. P Szawarski1,
  2. L Dvorkin2,
  3. E Tam3
  1. 1
    Department of Anaesthesia, Queen Elizabeth Hospital, London, UK
  2. 2
    Department of Surgery, North Middlesex University Hospital, London, UK
  3. 3
    Department of Radiology, Northwick Park Hospital, Harrow, UK
  1. zmierzchowiec{at}
  • Published 8 January 2009

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 scan through the abdomen …

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