CASE: SMV THROMBO EMBOLISM AND BOWEL GANGREEN^-www.drkeyurbhatt.in*

Thursday, January 6, 2011

CASE: SMV THROMBO EMBOLISM AND BOWEL GANGREEN^-www.drkeyurbhatt.in*

35 YRS male with severe agonizing pain in abdomen...
Past history: Operated for buccal malignancy few months ago..SOHND...on Chemotherapy and Radio Rx...On steriod...
CECT: S/O SMV thrombosis and gangrenous small bowel with air in wall of small bowel...
Pre Operatively on Inotrops and septic shock...

Anesthesia: Nasally intubated with bronchoscopy in view of inability to open mouth and SMF.
Explored: Total necrosis of whole jejunum...with peritonitis...
Surgery: Whole jejunum resected and Ileum anastomosed to DJ flexure..lavage and drainage...
post op remained on Venti for 4 days later converted to Tracheostomy...Gradually improved and came out of sepsis...supports weaned off....now taking oral diet and Ambulant.....Repeat CECT...revalled no leak and healthy bowel....on the line of discharge....