Le 01/10/12 12:04, Robin Kaushik a ?crit :
> Hi all.
>
> This young man underwent omental patch (pedicled) for a duodenal
> perforation about 5 - 6 days ago.
>
> Post-operatively, he did not do well, with wound sepsis, burst abdomen
> and multiple intra-abdominal collections that could not be drained
> radiologically (local issues).
>
> He was re-operated today morning, and the omentum was necrosed, with
> the perforation opened up and bile collection in the subhepatic region.
>
> While lavaging, we found this - (See photos).
>
> I ended up applying an onlay jejunal patch over the perforation (along
> with a feeding jejunostomy).
>
> Any comments ? Could this have been the cause for the disruption ?
