mrs shipra chakroborty 65 yr
female came to emergency room with complaints of pain abdomen frequent
vomiting since 2 days. pt had eaten nonveg food & thought that this
was due to food poisioning. pt was not willing for admission wanted
some medications
In her past history she had undergone tubal ligation surgery (whose stitching had broken & she developed a hernia there & she was unaware of this). rest was normal. on examination of abdomen she had a lump in lower abdomen of around 10 x8x6 cm. when questioned patient said it was since last 5 yrs & pt had no problems due to lump.now lump was tender to touch suggesting obstruction or strangulation (read what is strangulated hernia) . she was admitted & urgent CT SCAN of abdomen was carried out. it showed intestinal obstruction due to hernia.
urgent exploration revealed that her small intestines had be come black ( gangrenous;strangulated hernia) due to loss of blood supply. (this was because she made delay in taking opinion of doctor as she thought all her problems were due to eating noveg food which caused gasrto a infection of intestine ,which she thought would settle in few days)
In her past history she had undergone tubal ligation surgery (whose stitching had broken & she developed a hernia there & she was unaware of this). rest was normal. on examination of abdomen she had a lump in lower abdomen of around 10 x8x6 cm. when questioned patient said it was since last 5 yrs & pt had no problems due to lump.now lump was tender to touch suggesting obstruction or strangulation (read what is strangulated hernia) . she was admitted & urgent CT SCAN of abdomen was carried out. it showed intestinal obstruction due to hernia.
urgent exploration revealed that her small intestines had be come black ( gangrenous;strangulated hernia) due to loss of blood supply. (this was because she made delay in taking opinion of doctor as she thought all her problems were due to eating noveg food which caused gasrto a infection of intestine ,which she thought would settle in few days)
That
part of intestines was removed & hernia repair carried out. post op recovery was slow .
Her wound took time to heal due to infection & old age.
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