ACUTE MESENTERIC VASCULAR OCCLUSION
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Essentials of Diagnosis
• Severe abdominal pain, nausea, fecal vomiting and bloody diarrhoea.
• Severe prostration and shock.
• Abdominal distention, tenderness, rigidity.
• Leucocytosis and haemoconcentration.
Treatment:-
- Restorationoffluid,electrolyteandcolloidbalance.
- Decompression of the bowel.
- 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.
