Old aged male with h/o trauma 8 months back and operated for resection of 3.5 feets of ileum due to mesenteric tare..developed low level fistula from wound....discharging pus...
Was not subsided even after 6 months of surgery...worked up again and fistulogram suggested communication with bowel..taken up Unfortunately scrapping...and biopsy...and some resection was done (exact data not available) Bx was sent from the fistula site: s/o tuberculosis!!
Following this surgery presented after 20 days of hospital stay with bile discharging from main wound
TLC: 22,000 , And hypotension with tachycardia and distension
CECT : plain and oral contrast demonstrated leak near terminal ileum....
surgery: exploration and removal of of dead omentum, lump, debridment of obscess, Rt quarter colectomy and ileostomy and mucus fistula...wound healed and pt discharged on POD 7 to home.
HPE: s/o atypical tuberculosis with granuloma p/o M. Kansasi
pt now started on COMBINATION AKT.
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
Was not subsided even after 6 months of surgery...worked up again and fistulogram suggested communication with bowel..taken up Unfortunately scrapping...and biopsy...and some resection was done (exact data not available) Bx was sent from the fistula site: s/o tuberculosis!!
Following this surgery presented after 20 days of hospital stay with bile discharging from main wound
TLC: 22,000 , And hypotension with tachycardia and distension
CECT : plain and oral contrast demonstrated leak near terminal ileum....
surgery: exploration and removal of of dead omentum, lump, debridment of obscess, Rt quarter colectomy and ileostomy and mucus fistula...wound healed and pt discharged on POD 7 to home.
 |
| on exploration, with chronic fistulous tracts and dirty abscesses... |
 |
| after clearing , lavage and resection...the relatively healthy looking bowel |
HPE: s/o atypical tuberculosis with granuloma p/o M. Kansasi
pt now started on COMBINATION AKT.
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
