EDITOR'S QUIZ: GI SNAPSHOT
Acute abdomen after prolonged plane travel
Department of Pathology, New York University, New York, New York, USA
Correspondence to:
Correspondence to:
Dr A B West
AmeriPath New York Gastrointestinal Diagnostics, 1 Greenwich Place, Shelton, CT 06484, USA; brian.west@med.nyu.edu
| The first 150 words of the full text of this article appear below. |
A 69-year-old woman developed an acute abdomen immediately after a prolonged (>12-h) flight. At laparotomy, two abnormal segments of jejunum were found: one 16 cm long, immediately distal to the ligament of Treitz; the other 4 cm long, 20 cm distal to the first. Both were plum-coloured, swollen and sharply demarcated from the adjacent normal bowel. There was mild acute peritonitis. The jejunal arterial supply was intact. There was no volvulus or adhesion. Both segments were resected, anastomoses were performed, and the patient made an uneventful recovery.
The patient’s history included aortic valve replacement, coronary artery bypass, cholecystectomy and 30 years of smoking. She had taken warfarin sodium since her valve replacement 9 years earlier, and had occasional episodes of epistaxis. At presentation, her international normalised ratio was 5.5 (preferred level, 2–3). Other drugs included carvedilol, valsartan and indapamide. There was no history of abdominal trauma.
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Gut 2007 56: 242.[Extract] [Full Text] [PDF]
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