Middle aged male with pain in abdomen , distension, obstipation for 4 days
known case of DM / HTN on Rx.
Tachycardia, hypo tension at the time of presentation , CT DONE after resuscitation
S/o large bowel obstruction ? ca rectum, with colonic diameter more than 11 cm
Emergency colonoscopy done s/o tight growth in upper rectum, scope not negotiable, tube not passed
SURGERY: Emergency surgery : (T M E) Anterior resection with Hartmann's procedure, closing of distal stump, proximal diverting colostomy.
discharged on POD 8.
HPE: moderately diff. adeno ca rectum with 22/22 nodes positive, T3, N2. M0., All resection margins are free with distal being 7 cm away.
patient now subjected to adjuvant chemo radio..
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
known case of DM / HTN on Rx.
Tachycardia, hypo tension at the time of presentation , CT DONE after resuscitation
S/o large bowel obstruction ? ca rectum, with colonic diameter more than 11 cm
Emergency colonoscopy done s/o tight growth in upper rectum, scope not negotiable, tube not passed
SURGERY: Emergency surgery : (T M E) Anterior resection with Hartmann's procedure, closing of distal stump, proximal diverting colostomy.
discharged on POD 8.
HPE: moderately diff. adeno ca rectum with 22/22 nodes positive, T3, N2. M0., All resection margins are free with distal being 7 cm away.
patient now subjected to adjuvant chemo radio..
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
