Essentials of Diagnosis

• Severe abdominal pain, nausea, fecal vomiting and bloody diarrhoea.
• Severe prostration and shock.
• Abdominal distention, tenderness, rigidity.
• Leucocytosis and haemoconcentration.


  1. Restorationoffluid,electrolyteandcolloidbalance.
  2. Decompression of the bowel.
  3. Heavy doses of broad spectrum antibiotics to
    prevent sepsis. 6 Practical Standard Prescriber
    Laparotomy should be done as soon as possible and gangrenous bowel is to be resected. Embolectomy and thrombectomy may be possible if there is isolated thrombus/embolus in a major artery. Anticoagulants are not indicated.

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