Defunctioning loop ileostomy: not always a safe option
| Autor: | David Conkey, James Carson, Roderick T Skelly, Nathan Burnside, Niall MacKenzie, Philip T Davey |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Necrotising fasciitis Physical examination Adenocarcinoma Abdominal wall Ileostomy Postoperative Complications medicine Rectal Adenocarcinoma Humans Fasciitis Necrotizing Fasciitis Aged Pain Postoperative Crepitus medicine.diagnostic_test business.industry Rectal Neoplasms Cellulitis General Medicine medicine.disease Surgery medicine.anatomical_structure Online Case Report Female medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Annals of the Royal College of Surgeons of England. 93(6) |
| ISSN: | 1478-7083 |
| Popis: | A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdominal wall inferior to the loop ileostomy with associated crepitus and skin necrosis. The clinical diagnosis of necrotising fasciitis was confirmed radiologically on emergency computed tomography. The patient underwent an emergency debridement of the anterior abdominal wall. |
| Databáze: | OpenAIRE |
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