A 49 year old Indian gentleman presented to my practise with a 5 day complaint of progressively increasing abdominal pain which started around the umblicus and on the day of admission the pain was present all over the abdomen. This was associated with nausea and vomiting. He also noted his abdomen progressively increasing in size and was not able to pass motion. He was having spiking temperature and was very dehydrated. He had diabetes and hypertension and was also a heavy smoker. There has been previous episodes of central abdominal pain which lasted mostly for 2 to 3 days and colicky in nature. However, the wife noted that his abdominal pain increased in frequency recently and worsened after meals. He was resuscitated and an emergency laparotomy was performed. These was what I saw:
A 49 year old Indian gentleman presented to my practise with a 5 day complaint of progressively increasing abdominal pain which started around the umblicus and on the day of admission the pain was present all over the abdomen. This was associated with nausea and vomiting. He also noted his abdomen progressively increasing in size and was not able to pass motion. He was having spiking temperature and was very dehydrated. He had diabetes and hypertension and was also a heavy smoker. There has been previous episodes of central abdominal pain which lasted mostly for 2 to 3 days and colicky in nature. However, the wife noted that his abdominal pain increased in frequency recently and worsened after meals. He was resuscitated and an emergency laparotomy was performed. These was what I saw:
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PS: For those who read “Burnt” , the 17 year old boy passed away yesterday!