case: malrotation with obstruction and gangrene...in a case of Nephrotic syndrome^-www.drkeyurbhatt.in*

Sunday, April 15, 2012

case: malrotation with obstruction and gangrene...in a case of Nephrotic syndrome^-www.drkeyurbhatt.in*

young male k/c/o nephrotic syndrome on steroids..presented with acute intestinal obstruction with distension....conservative trial failed to manage...taken up for surgery:

previously operated by pediatric surgeon at the age of 3 days for malrotation with obstruction.

SURGERY: Extremely difficult laparotomy more than 7 hrs with dilated gangrenous bowel loops densely adherant...total 3.5 feets of gangrenous ileum was resected...and jejuno ileal anastomosis done single layer interupted...

fortunately healed on low albumin and on steroid with gangrene...and patient discharged home after 10 days...