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Fri Jul 11 18:26:24 BST 2008

we had a case about a year ago. A 40ish lady with a hypercoagulable state that quit her coumadin. She clotted off entire SMA
lived for about a month or two on TPN, we even sent her home for a week or so. Died of line sepsis. I do not think that the long term survival on TPN is very good
W

-----Original Message-----
From: khumar huseynova <khumarhuse at yahoo.ca>
To: Trauma Trauma <trauma-list at trauma.org>
Sent: Thu, 10 Jul 2008 7:39 pm
Subject: Re: A difficult abdominal case

We had a 70-something old lady transferred from another facility to us couple of 
weeks ago with similar situation. Her Dx was delayed too. We took her to OR, 
resected almost her entire SB with the exception of a portion of prox jej which 
also looked dusky but not dead, stapled off the 2 ends, put her on TPN in ICU. 
Took her back to OR for 2nd look 2 days later, had to resect some more of jej, 
anastomosed the 2 ends, back to ICU. She lived for 2-3 weeks afterwards.
?
What did u end up doing? He is young although outcome is dismal to say the 
least... What was the primary cause?
?
K

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A difficult abdominal case