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Intraoperative photograph of markedly dusky and inflamed bowel.
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Conversion to open laparotomy ensued followed by resection of the diseased segment with temporary abdominal closure (Fig. 1).
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Ischemic left foot, with patchy areas of gangrene.
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On examination, lower limbs showed unsalvageable ischemia with no palpable pulses (Fig. 2).
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(a) Left lower limb with visible mottled and dusky appearance.. (b) CT angiography, red arrow displaying significant occlusion aortic bifurcation and left common iliac artery.
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On day 8 of his ICU course, the left lower limb appeared dusky and mottled up to the mid-thigh (Fig. 3).
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Left hand showing non-salvageable ischemia with significant gangrene.
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On day 11, all distal extremities showed non salvageable ischemia with no palpable distal pulses (Fig. 4).