Perhaps there is some additional information? What is the clinical case?
As it is ischaemic it is always safer to have a look and can try a diagnostic laparoscopy initially
Just ischaemic colitis. Or are there other co -morbidities and injuries to organs.
A 22 years old gentleman, is currently on mechanical ventilation, circulatory and renal support. He has difficult to manage acidosis (from gut, kidneys and sepsis) and has been passing black tarry stools. He has an abysmal prognosis and my question is how adventurous can we get with this case scenario? Should he be offered laprotomy/gut excision with a good possibility of on-table death. His sepsis and kidney are being looked after.
It would appear that one would consider whether there are other electrocution injuries in addition. Perhaps consider rhabdomyolysis, jejunitis, ileitis, gastritis, ( in view of malaena), renal damage, pancreatitis, and retroperitoneal vascular damage.
Perhaps some imaging may be helpful before considering surgery.
Clarity in the discussion will help to make some laboratory indicators (biochemical, blood, urine, CSF, there may still be data...), Instrumental data (FGDS, ultrasound), your opinion about the cause of tar-like stools-acute gastric / duodenal ulcers, erythematous gastropathy on the background of high urea?. is there a clinic for peritonitis-if you think about mesothrombosis and intestinal necrosis?...Judging by your message - can't I do an angiography? ...Thanks!
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