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Difficult complication

Rick Pomerantz trauma-list@trauma.org
Sun, 27 Apr 2003 22:11:13 -0400


I appreciate the feedback, Dr. Mattox. Your advice is sound and I will 
bring this to my partners at our next Trauma Audit when this case is 
reviewed. 
Assuming the injury is identified before the bowel is dead, any special 
considerations in the reconstruction? Conduit? Where do you take inflow 
from?
Thanks
Rick Pomerantz



----- Original Message -----
From: KMATTOX@aol.com
Date: Sunday, April 27, 2003 6:51 pm
Subject: Re: Difficult complication

> Vascular injury to SMA not apparent at first operation.  Either 
> dissection or 
> embolization or occlusion.   A "second" and/or "third" look via 
> operation or 
> arteriography of the SMA might have been in order due to mechanism 
> of injury. 
>   It is never wrong to have a second or third look in this kind 
> of case, 
> even if everything is "normal" at the second operation
> 
> k
>