A 57-year-old man with cirrhosis was presented to ED with acute abdominal pain for the last 24 hrs. Examination His abdomen was tender to palpation over the epigastrium and lower abdomen, with rebound tenderness and guarding. Laboratory tests revealed, WBC: 8400 per cubic millimeter (normal range, 4000 to 11,000). A serum lactate level of 18.4mmol/liter (normal range: 0.5 to 2.2). CT revealed pneumatosis intestinalis.
The patient underwent emergency laparotomy. Identify this condition noticed during emergency laparotomy. *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
