ANASTOMOTIC SURVIVAL DESPITE DUAL MESENTERIC ARTERIAL THROMBOSIS: A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 68
Abstract
Usually, in acute on chronic mesenteric ischaemia, the safest option is resection of infarcted bowel and exteriorisation of both ends. This allows inspection of both bowel ends for their viability. Anastomosis and restoration of continuity of bowel is delayed for 4–6 months is done in favour of healing. If the viability of bowel is unclear, second look laparotomy maybe needed, which may maximize intestinal salvage. In this case, we have done massive resection of small bowel with end-to-end anastomosis, which survived in spite of more than 50% thrombosis of two major vessels.
Authors and Affiliations
Durairaj , Arun , Alankrith Kashyap, Mohamed , Parivallal
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