Friday, April 29, 2011

CASE: Colo colic Intucessecption : A minimal invasive approach^-www.drkeyurbhatt.in*

62 yrs female with acute abdomen
OBSTIPATION For last 5 days

On investigation found to have Colo - colic Intucessecption near splenic flexure and large bowel obstruction.



FIRST STAGE:

Hydrostatic reduction of Intucessecption in emergency with oral contrast and saline p/r

SECOND STAGE:

Na Picosulfate oral ingestion for two consequitive days to clear bowel..

Check CT s/o total reduction of Intucessecption with empty bowel. and a small stack with the lead point of intucessptum (a lipoma)

THIRD STAGE:

Colonoscopic  removal of polyp and pt was discharged on Next day.



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