Conclusions and Results (outcome and follow-up)
Pathologic findings of the specimens are summarized below:
The patient remained stable post-operatively. On postoperative days 1-3 he was on a nothing-by-mouth (NPO) diet, had bilious nasogastric (NG) tube output, and required ketamine for pain control. He started a 4-day course of piperacillin/tazobactam and fluconazole. By postoperative day 4, his pain improved, a clear liquid diet was started, and the NG tube was removed. He was discharged on postoperative day 5.
Several weeks after discharge, the patient was hospitalized at another facility for continued symptoms. The patient reported undergoing a magnetic resonance (MR) enterography at that time which was unremarkable. Additionally, the patient reported undergoing a repeat colonoscopy in April of 2024 with no significant findings. In June of 2024, the patient reported that, symptomatically, he had minimal acid reflux, bloating, and abdominal distention/pain that were well-controlled by limiting caloric intake. His weight remained stable despite limiting his diet. A chronological timeline of events of this case is outlined in Figure 6.