middle aged female with severe pain in abdomen and metabolic acidosis septic shock....after three days of history
and recent onset DM
CECT : s/o acute smv thrombosis with proximal bowel gangrene with peritonitis...
Surgery: emergency laparotomy and lavage and resection of gangrenous jejunum and single layer anastomosis at Dj flexure...
at the time of surgery Nor adr was at 12ml/hr std dilution, heparin oninfusion 3ml/hr.
dopa 10ml/hr..creat: 3.5 TLC: 34,000 and s. albumin 1.4 hb:6.8 with this BP: 90/50.pulae:160/min..
fortunately patient came out of sepsis slowly...and on the path of goin home finally after 25 days of surgery....
and recent onset DM
CECT : s/o acute smv thrombosis with proximal bowel gangrene with peritonitis...
Surgery: emergency laparotomy and lavage and resection of gangrenous jejunum and single layer anastomosis at Dj flexure...
at the time of surgery Nor adr was at 12ml/hr std dilution, heparin oninfusion 3ml/hr.
dopa 10ml/hr..creat: 3.5 TLC: 34,000 and s. albumin 1.4 hb:6.8 with this BP: 90/50.pulae:160/min..
fortunately patient came out of sepsis slowly...and on the path of goin home finally after 25 days of surgery....
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