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Monday, February 6, 2012

Acute on chronic mesenteric ischemia: bowel gangrene..

Middle aged male known HTN,
Pain in abdomen for 5 days..progressive..with nausea, vomiting and distension and febal bowel sounds..
CT: s/o chronic infacrts in kideny, spleen..and acute gangrenous changes in small bowel..
2DECHO: s/0 35% EF with dilated RA/LV..And dilated descending aorta with small thrombus

Bolus heparin with later on infusion given..
next day taken up for surgery in view of downgoing abdominal conditions..
SURGERY: Gangrenous segment of jejunum resected and anastomosis done. pt was discharged in due time..