Laparotomy for treatment of seizures
- 1Department of Anaesthesia, Queen Elizabeth Hospital, London, UK
- 2Department of Surgery, North Middlesex University Hospital, London, UK
- 3Department of Radiology, Northwick Park Hospital, Harrow, UK
- 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).
The contrast-enhanced CT scan through the abdomen …