 Adhi kesavan aged 57, had acute abdominal pain, tests revealed that he had a
block in one of the major blood vessels supplying blood to the small intestine,
this condition is called intestinal ischemia. Angiography was performed to
remove the block.The blockage could not be completely removed, so he was brought
to Dr JS Rajkumar, who after examining him administered anticoagulant (“blood
thinning”) drugs which helps dissolve a blood clot, as well as the medications
to dilate or widen the blood vessels were administered via the catheter put in
place during angioplasty. This was done in order to improve intestinal blood
flow.
This was followed by a diagnostic laparoscopy to probe the extent of blockage.
A laparotomy (open abdominal surgery) was done to create a bypass route for
blood around the blockage. It was found that the segments of the intestine were
infarcted (dead), and the portions of the intestine above it and below are
reconnected. A second operation was performed within 24 hours to ascertain that
the treated blood vessels have allowed the previously injured portions of the
intestine to recover. Adhi kesavan is progressing well and his condition is stable.
Intestinal ischemia is the term used to describe the result of a variety of
disorders that cause insufficient blood flow to the gastrointestinal tract. Such
ischemic injuries can manifest with symptoms ranging from a mild bout of
short-lived abdominal pain, to bloody diarrhea or a more serious situation that
may require surgery and even end in death. |
