20 Feb 2017

Radiation Enteritis

64 years old male operated Lap APR 2 years back for CA Rectum
Received radiation post operatively
He had repeated attacks of Intestinal Obstruction after 18 months
Admitted 4 times in last 6 months for same
Presented with perforation peritonitis and operated again
Findings severe radiation enteritis with terminal ileal perforation
Adhesiolysis with resection of terminal ileal segment
Permanent colostomy kept in situ & double barrel ileal stoma made

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