The patient proceeded to trauma laparotomy with operative findings of ischaemic right colon, small bowel and mesenteric injuries. The patient underwent a small bowel resection and right hemicolectomy.
1. "Small bowel": A segment of small bowel, 65mm long by 15mm in diameter. The serosal surface is congested with multiple sutures. One margin inked blue, second inked green. The mucosal surface is focally congested and the wall is stitched. No suspicious mass is identified. The remaining mucosal surface is unremarkable.
2. "Large intestine": Right hemicolectomy comprising terminal ileum, appendix, caecum and part of ascending colon. The serosal surface on the caecum and the ascending colon is congested. The wall is purple and the mucosal surface is flat and dusky. Proximal end inked. The appendix is unremarkable.
- Small bowel: Small bowel with evidence of trauma.
- Large intestine: Colon with evidence of submucosal haemorrhage and inflammation. Features may been seen in relation to trauma and ischaemia.
feature images from this case