Thursday, November 29, 2012

case: Lower gi bleed - mackel's divertucula

young male with history of enteric fever and positive tests for the same
with lowe GI bleed daily needing transfusion of 2 pcv. (total 8 given in 4 days) and still Hb was 7.5.

on further evaluation found to have bleeding from mid ileum (on ileo-colonoscopy) and all terminal ileal ulcers were shallow and healing.

taken up for surgery and found to have gross bleeding from mackel's diverticula (3 x 5 cm)size  with no blood proximal to diverticula

SURGERY: Resection and anastomosis of mackel's diverticular segment of ileaum

patient was discharged on POD 6.