Abdominal wall non-clostridian gas cellulitis: a rare complication of a colostoma.
The authors report the case of a 69 year-old patient, with obesity, having a left colostomy that has been made for rectal cancer (12 years ago) and who developed a non-clostridian gascellulitis of the abdominal wall as a result of intraparietal traumatic tract perforation of the colostomy. The presence of the peristomal hernia favoured the posttraumatic injury of the colostomy. Repeated surgical inteventions and the antibiotic treatment determined a favourable evolution. Despite the wound contamination with excrement, transit stoma relocation was not necessary. Some clinical and therapeutic aspects of abdominal wall infections are presented.
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Maier
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Boieriu
D034861:Abdominal Wall / Q000382:microbiology*; D000368:Aged; D015992:Body Mass Index; D002481:Cellulitis / Q000382:microbiology* / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects*; D006555:Hernia, Ventral / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications; D012004:Rectal Neoplasms / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome