Operative findings and surgical interventions.
| Time point | Findings | Surgical intervention |
|---|---|---|
| 05.02.2024 Initial surgery | Approximately 1,000 mL of serous intra-abdominal fluid; transmural necrosis of the jejunum and ileum beginning approximately 15 cm distal to the ligament of Treitz and extending distally to about 90 cm proximal to the terminal ileum; absent mesenteric pulsation suggesting embolic occlusion of the jejunal and ileal branches of the superior mesenteric artery | Emergency exploratory laparotomy; near total enterectomy with preservation of approximately 110 cm of viable small bowel (15 cm proximal jejunum and 90 cm distal ileum); stapled jejunoileal anastomosis; resection of necrotic bowel with mesentery; abdominal irrigation and JP drain placement |
| 06.02.2024 Second-look laparotomy | Progressive ischemia involving the ileocecal junction and right colon | Extended right hemicolectomy and feeding jejunostomy placement |