Ischemic bowel.A 98-year-old woman admitted with a six hour history of severe abdominal pain. Colectomy performed many years earlier. Found to have a generalized peritonitis and thought to have ischemic bowel. Warned she would be unlikely to survive surgery. Insistent on surgery. Fifty cm of proximal gut found to be gangrenous - secondary to a band adhesion. The surgeon's finger points to the area of compression by the band. Resected and survived for 25 hours post-op.
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