Monday, February 20, 2012

CASE: Infactive bowel gangrene- RA^-www.drkeyurbhatt.in*

Middle aged male with severe pain in abdomen for 2 days with nausea and vomiting
and abdominal distension.
Known DM case for last 5 yrs on OHA.
NO H/O HTN.
or surgery in past...or other medical disease.
presented with shock and hypotension not responding to fluid challenge..and started with inotrops..and low urine output

CECT: S/O intestinal obstruction...with terminal ileal ishcemia?

SURGERY: Exploratory laparotomy and resection of Gangrenous bowel. and jejuno ileal anastomosis..was done and discharged in time..without any undue complications.



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