Direct peritoneal resuscitation in a patient with gastrointestinal tuberculosis with an open abdomen

Abstract

Rationale/objectives

This case report aims to illustrate the methodology involved in the management of a patient with gastrointestinal tuberculosis with an open abdomen with direct peritoneal resuscitation. We present a 49-year-old malnourished male, in septic shock, who presented with mechanical intestinal obstruction from gastrointestinal tuberculosis (GITB) and required delayed abdominal closure. Direct peritoneal resuscitation (DPR) was employed as an adjunct to shorten the interval to closure by reducing organ edema and inflammatory cytokine levels.

Methods

This is a case report describing the procedure of direct peritoneal resuscitation and its use in non-trauma related surgeries requiring delayed abdominal closure.

Results

The patient recovered well from the surgery with the abdomen closed after nine days from the first procedure.

Conclusion

Direct peritoneal resuscitation is a viable adjunct in patients requiring delayed abdominal closure.