Middle aged male with c/o severe pain in abdomen, nausea, vomiting & constipation, rise TLC
CECT S/o: acute Portal, SMV, Splenic vein thrombosis with proximal jejunal ischemia/gangrene
PLAN: Managed conservatively with Heparin and Anticoagulants --> gradually started on diet and discharged with close follow up. as suspected stricture in jejunum in coming days.
Readmitted with vomiting after 6 weeks, no pain, rest all Investigations normal.
CECT: S/o : Completely recanalised portal and SM vein, with stricture in proximal jejunum and dilated proximal bowels
PLAN: Taken up for surgery and resection with primary anastomosis of strictured segment. discharged on POD 6, With normal diet.
Acute mesenteric venous gangrene/ischemia can be managed conservatively provided with normal arterial flow and patient being kept in ICU with proper monitoring, and later as they develop stricture can be managed with single stage surgery, avoiding stoma formation in case of management of gangrenous bowel, and doubtfull viability of bowel with thrombosed veins.
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
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
