A male aged 54 years diagnosed with Acute small bowel obstruction underwent surgical resection of the involved segment and following images show Gross Specimen and the findings as- a segment of small bowel 540 mm in length and up to 45 mm in diameter widespread congestion of small bowel and mesentery dilatation and wall thinning  two localised segmental constrictions approximately 30 mm and 140 mm from one margin mucosal congestion and attenuation there is localised viable mucosa at the margin in the opened photograph. there is no evidence of perforation  Comment on his images and discuss what could have been the cause and further treatment

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Intestinal obstruction due to gangrenous changes of small intestine most probably due to ischaemia of the gut due to oclusion of the mesenteric vessels. That is why segmental resection done with anastomosis.

Thank you doctor
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It's a case of small bowel obstruction and perforation After surgery , recory time depend on general health , age and other factors Complication After surgery the other cause may be adhesions , chron's disease , diverticulitis, hernia , colon cancer , peritonitis etc. Some time its lead to cardiovascular disease also with pulmonary disease See the blood report Send for histopath See for ecg And treat accordingly

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