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Thursday, November 29, 2012

CASES : IBD - Total coletcomies

case 1.Recently diagnosed UC for 1 month patient had TOXIC MEGACOLON WITH PERFORATION

SURGERY: Total abdominal colectomy with end ileostomy ..patient was discharged on POD 8.

case 2. : Middle aged male presented with history of few days diarrhoea and sudden lower GI bleeding..and shock..on evaluation found to have IBD with massive LOWER GI BLEED (Colonic). but by the time patient was in profound shock..high inotrops and Early ARDS.

emergency TOTAL ABDOMINAL COLECTOMY and end ileostomy was done.

unfortunately we lost the patient of refractory ventricular tachycardia on day 7.