title: Treatment of paracolostomy abscesses without proximal diverting colostomy: report of two cases.
abstract: Two patients had paracolostomy abscesses limited to the abdominal wall. Adequate drainage was obtained surgically using local anesthesia, but wound contamination from the fecal stream continued. Intravenous hyperalimentation and/or elemental diet reduced fecal volume, promoted wound healing and weight gain, and prevented the need for a proximal defunctionalizing colostomy. During follow-up periods of more than ten months, colostomy revision has not been necessary.
mesh_terms: D000038:Abscess / Q000628:therapy*; D003125:Colostomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged