Wednesday, January 12, 2011

CASE: MASSIVE LOWER GI BLEEDING..With multiple Ileal ulcers...? Enteric ? Aspirin induced^-www.drkeyurbhatt.in*

55 yrs female with massive lower GI bleeding...with Hb 4.5 after 6 blood transfusions..
UGIE: was noraml..
LGIE: s/o few non bleeding ulcers in cecum...but ileum full of blood...

was kept conservatively and went into shock with NOR -ADR on 5 ml / hr..and 10 more transfusion was given ... and taken for mesantirc angio- which was inconclusive ---- I got a call.... decision of surgery was taken immediately and  Pt was explored....
and found to have hundreds of ileal ulcers in terminal 2 feets of ileum ....Intra of enteroscopy was done (by gastro physician, which helped us in defining proximal margin  free of ulcers)


 and along with ileal resection Rt hemicolectomy as done with I-T anastomosis....finally pt is walking today...passing normal stool...POD 5.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon