PMC6796684_01
Computed tomography (CT) of abdomen showing porto-mesenteric vein thrombosis with evidence of small bowel ischemia.
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Computed tomography (CT) abdomen with intravenous (IV) contrast exhibited superior mesenteric vein, portal vein, and splenic vein thrombosis combined with signs of extensive small bowel ischemia (Fig. 1).
Open abdomen showing extensive small bowel ischemia.
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Trietz ligament. The patient was left with an open abdomen for second look which indicated enduring small bowel ischemia (Fig. 2).
Open abdomen showing clean anastomotic abdominal field.
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Third-time screening revealed clean anastomotic abdominal field and abdominal closure was straightway performed (Fig. 3).
PMC6796684_02
Open abdomen showing extensive small bowel necrosis.
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Exploratory laparotomy was carried out and 80 cm from proximal jejunum was resected preserving 15 cm from duodeno-jejunal flexure with application of vaccum assisted closure (VAC) (Fig. 4).
PMC6796684_03
Computed tomography (CT) of the abdomen showing portal vein thrombosis without evidence of small bowel ischemia.
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Interestingly, computed tomography (CT) of her abdomen showed extensive portal vein thrombosis with splenic vein thrombosis without evidence of bowel ischemia (Fig. 5).
PMC6796684_04
Computed tomography (CT) of the abdomen showed extensive portal, superior mesenteric vein and splenic vein thrombosis.
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The CT of his abdomen showed extensive portal vein thrombosis involving portal vein, superior mesenteric vein and splenic vein with evidence of small bowel ischemia affecting jejunum (Fig. 6).
Open abdomen showing extensive small bowel ischemia.
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Exploratory laparotomy was carried out and 85 cm from the proximal jejunum resected, vacuum assisted closure (VAC) was applied and the patient shifted to intensive care unit (ICU) (Fig. 7).
PMC6796684_05