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Laprotomy Shows Intestinal Segment Distal Ilium To Ascending Colon. Possibility Of Cutting Intestine?
I did LSCS. Pt. was discharged on 8th. day on oral diet& passing motion.Pt. passed flatus after 48hrs. post L.S.C.S. Aftter 11days of L.S.C.S SHE UNDERWENT LAPROTOMY which showed 11cm. of intestinal segment distal ilium to ascending colon . biopsy showed gangrene & multiple time perforations. (1) Is there any possibility of cutting intestine in .L.S.C.S.; as we never see periceacal area & it never comes into operative field?. if yes, how it can cause multiple tiny perforations & gangrene instead of single large cut. (2)In such large gangrenous & perforated 11 cm segment of intestines for how many days usually patient can survive if laprotomy is not done immediately?. (3)What are spontaneous perforations & How often you see them in your surgical wards?.
Thu, 3 Oct 2013
Hi,
1. LSCS = laparoscopy carries its own risks, including perforations. However, in your case, you had multiple tiny perforations and gangrene, which suggest for an "old" pathology (to me old Crohn's disease).
2. Usually, when such perforations are present together with gangrene, the patient would suffer of severe pain and is considered as surgical emergency. In your case, all the symptoms were not present since the beginning which has lead to laparotomy after 11 days.
3. Spontaneous perforations are commonly reported, however, it depends on the specific patient's case and the course of surgical interventions.
Thank you.
1. LSCS = laparoscopy carries its own risks, including perforations. However, in your case, you had multiple tiny perforations and gangrene, which suggest for an "old" pathology (to me old Crohn's disease).
2. Usually, when such perforations are present together with gangrene, the patient would suffer of severe pain and is considered as surgical emergency. In your case, all the symptoms were not present since the beginning which has lead to laparotomy after 11 days.
3. Spontaneous perforations are commonly reported, however, it depends on the specific patient's case and the course of surgical interventions.
Thank you.
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