How to Grade? - Grey Zone Cases

Over the past five years, we were confronted with a couple of clinical cases, in which the grading of complications turned out to be difficult. Such cases were prospectively collected at our center.



Example of "grey zone cases"




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Scenario 8:
A 75-year-old patient underwent an aortic aneurysm repair and developed severe abdominal pain a few days after surgery. We were called to evaluate the patient for suspicion of an ischemic bowel. Despite a negative clinical and radiologic evaluation, we performed an exploratory laparotomy, but failed to document any intraabdominal pathology.


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