[A rare complication of colostomy].
A case of a 64 years old female patient who had had a Miles operation 6 years ago for rectal cancer and at the present hospital admission she came in with a severe infection around her left colostomy. Initially, she presented a quite localized peristomal infection but, subsequently, the infection has evolved to an extensive necrotizing fasciitis of the abdomen, a large dehiscence of colostomy and severe sepsis. Repeated surgery and transverse colostomy, to put at rest infected left colostomy, plus aggressive medical treatment resulted in a good recovery, with the wounds healing and redo of the left colostomy. Now she is on the waiting list to get rid of the transverse colostomy.
Chifu
Camelia
C
Clinica III Chirurgie, Spitalul de Urgente Sf Spiridon, Iaşi. cchifu2000@yahoo.fr
Diaconu
C
C
Andriescu
Lidia
L
Palaghiu
R
R
Grigoraş
Oana
O
Damian
Nela
N
D000005:Abdomen / Q000473:pathology*; D003125:Colostomy / Q000009:adverse effects*; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome