Figure 2. Gangrenous bowel segments (white arrows) seen intraoperatively.
The patient was then shifted to the COVID surgical intensive care unit (ICU) without extubating. She received Meropenem IV 1gm and Vancomycin IV 500 mg twice daily along with low molecular weight Heparin 60 mg twice daily the following day.
She was started on Total Parenteral Nutrition (TPN) from a central line the following day. The histopathological report showed small bowel necrosis with microthrombi in the lamina propria and the submucosa with glandular necrosis (Figure 3).