Colostomy orifice complications: a case report of a prolapsed colostomy with necrosis of the eviscerated greater omentum
| Autor: | Mohammed Mhand, Houssam Aabdi, Badr Serji, Tariq Bouhout, Obed Rockson, Tijani El Harroudi |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
AcademicSubjects/MED00910 business.industry Decompression medicine.medical_treatment Colostomy Case Report Greater omentum digestive system diseases Surgery medicine.anatomical_structure Stoma (medicine) Ascites Rectal Adenocarcinoma medicine medicine.symptom Complication business Evisceration (ophthalmology) jscrep/040 |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Evisceration and necrosis of the greater omentum at the site of a prolapsed colostomy is a rare situation. Considered an early stoma complication, it often occurs during the first month after surgery. We report the observation and our attitude to such a situation in a 56-year-old patient who underwent initial surgery for a locally advanced rectal adenocarcinoma after receiving neoadjuvant radio-chemotherapy. A loop colostomy for decompression was performed due to large bowel obstruction. On the 10th day after surgery, he was readmitted for an oedematous prolapsed colostomy and a necrotic end of the greater omentum, which eviscerated through the colostomic hole, secondary to severe ascites. Emergency re-intervention involving resection of the prolapsed stoma with the necrotic segment of the omentum was performed. The three factors associated with the development of this rare peri-colostomy complication were: emergency surgery, locally advanced rectal tumor, and increased intra-abdominal pressure. |
| Databáze: | OpenAIRE |
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