Middle aged male with pain abdomen for last 3-4 days acute in onset..central abdominal pain
with vomiting ...past history of CHD and coronary stenting done before 3 yrs
CECT was done and was s/o acute sma block with thrombosis and proximal bowel gangrene and distal bowel ischemia...along with that air pockets in all lobes of liver..
taken up for surgery:
DAY 1: laparotomy and Superior Mesenteric Aartery exploration and thrombectomy and closure
Day 2: Re -exploration, proximal bowel resection anastomosis ..lavage and drainage.
patient was on inotrops and venti support for 7 days and was gradually improved and started on oral diet and discharged on day 12.
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Dr. Keyur Bhatt- Best GI
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