Patient History: A 63-year-old man underwent a surgical appendectomy and colostomy formation for ruptured appendicitis with abscess and devitalized cecum. At the time of the operation, he was noted to have necrosis and perforation of the cecum with fecal peritonitis. On postoperative day 8, the patient remains on the ventilator with P AO2 /F iO2 = 260. Over the past 48 hours, he has developed worsening oliguria with urine output of <300 ml over the past 18 hours. The patient is becoming visibly jaundiced.
A CT scan of the abdomen reveals no intrahepatic ductal dilatation, a moderate amount of postoperative inflammatory changes throughout the peritoneal cavity, and no signs of active intrabdominal infections. What is the most likely diagnosis? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case File Critical Care The answers are posted in the…
