Thursday, November 1, 2012

case: bowel gangrene with sepsis and MODS With acute mesenteric venous ischemia^-www.drkeyurbhatt.in*

middle aged female with severe pain in abdomen and metabolic acidosis septic shock....after three days of history
and recent onset DM
CECT : s/o acute smv thrombosis with proximal bowel gangrene with peritonitis...

Surgery: emergency laparotomy and lavage and resection of gangrenous jejunum and single layer anastomosis at Dj flexure...

at the time of surgery Nor adr was at 12ml/hr std dilution, heparin oninfusion 3ml/hr.
dopa 10ml/hr..creat: 3.5   TLC: 34,000  and s. albumin 1.4  hb:6.8 with this BP: 90/50.pulae:160/min..

fortunately patient came out of sepsis slowly...and on the path of goin home finally after 25 days of surgery....

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www.drkeyurbhatt.in/

www.sidshospital.com

 

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