14/12/2025
One month ago, our 60-year-old patient underwent an exploratory laparotomy to close a jejunal perforation—a major operation.
Last week, he came back in the Casualty with features of acute Intestinal Obstruction due to post-operative adhesions.
For two days, we tried conservative management—trying to get the blockage to settle without surgery. But the symptoms wouldn't budge.
It became clear: we had to go back to the operating theatre (OT).
Intra-operatively, we found the cause: The ileum was densely adherent and jumbled up in the pelvis, creating a critical "transition point" where everything was blocked.
About a 50 cm segment of the small bowel was starting to show gangrenous patches—tissue dying from lack of blood flow.
We had no choice. No taking risk.
we performed a resection—removing that compromised 50 cm segment and reconnecting the healthy ends. It was a precise, high-pressure operation to save the patient's life.
This patient has faced a major health challenge not once, but twice, in a single month.
The patient is now recovering in the ward. The road ahead is still challenging, but we successfully cleared the obstruction and removed the dying tissue.
