Abstract

We report a 65 year old female who presented with Left iliac fossa mass for three months with pain for ten days. Ultrasound and CT scans have revealed a lymphoma involving the descending colon. Colonoscopy was normal. At mini laparotomy, the mass was found to be arising from jejunum, with impending obstruction. A Jejunal resection was carried out. Following stable first three post-operative days, the patient developed septicemia. Review CT scan revealed, non-perfused, gangrenous bowel. At relook laparotomy, there was extensive small bowel gangrene along the drainage territories of Superior mesenteric vein. Patient succumbed to septic shock on fourth post-operative day.

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