A RARE CASE OF SMALL BOWEL PNEUMATOSIS INTESTINALIS PRESENTING WITH SHOCK- A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 50
Abstract
PRESENTATION OF THE CASE An 82-year-old male presented to the emergency with complaints of abdominal distention, nausea and vomiting since the past 3 days. It was also associated with pain in the abdomen which was diffuse in nature, non-radiating with no aggravating or relieving factors. Patient gives history of decreased passage of stool and flatus since the past 2 days. Patient gives history of smoking since the past 30 years. Patient had past medical history of coronary artery disease (post-angioplasty), CKD (Chronic Kidney Disease), Hypertension and COPD (Chronic Obstructive Pulmonary Disease). Patient had a history of old Pulmonary TB for which he had undergone treatment. On admission, patient was conscious, oriented, in a state of shock with BP- 80/60 mmHg on noradrenaline support of 5 ml/hr, Pulse rate- 120 beats per minute (ECG was done which showed Atrial Fibrillation with fast ventricular rate), afebrile. Chest- bilateral air entry was present with occasional ronchi, CVS- S1S2 present, P/Adistended with guarding, diffuse tenderness and absent bowel sounds. 2D Echo showed global hypokinesia with ejection fraction- 50%. Initial resuscitation was done, and patient was optimized. Due to unstable condition of the patient and lack of improvement after initial supportive therapy patient was planned for emergency laparotomy
Authors and Affiliations
Shrijit Kumar, Hemendra Singh, Yogesh Jhamb, Kaza R. C. M. , Aditya Arya
Keywords
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- EP ID EP550460
- DOI 10.14260/jemds/2018/1195
- Views 73
- Downloads 0
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