22 yrs male with h/o corrosive ingestion 3 months back
with residual gastric and esophagial scaring
FJ was done for the same 3 months back..
patient presented with sever agonizing pain in abdomen for last 2 days with shock
P: 170/min BP: 70 systolic
resuscitation and
CT SCAN S/O : Retro peritoneal collection with free gas..and dilated duodenum and proximal jejunum till FJ site..distal loops collapsed ? duodenal perforation
exploration: reveled the same a large perforation in D 3 Bellow the vessels with retroperitoneal sepsis.
primary closure , detwisting of jejunal loop , and a new feeding jejunostomy and drainage was done.
Fortunately pt survived..
with residual gastric and esophagial scaring
FJ was done for the same 3 months back..
patient presented with sever agonizing pain in abdomen for last 2 days with shock
P: 170/min BP: 70 systolic
resuscitation and
CT SCAN S/O : Retro peritoneal collection with free gas..and dilated duodenum and proximal jejunum till FJ site..distal loops collapsed ? duodenal perforation
exploration: reveled the same a large perforation in D 3 Bellow the vessels with retroperitoneal sepsis.
primary closure , detwisting of jejunal loop , and a new feeding jejunostomy and drainage was done.
Fortunately pt survived..
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
