End-colostomy diverticulitis with parastomal phlegmon: A case report.

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Serval ID
serval:BIB_CA4B55207F21
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
End-colostomy diverticulitis with parastomal phlegmon: A case report.
Journal
Medicine
Author(s)
Muradbegovic M., St-Amour P., Martin D., Petermann D., Benabidallah S., Di Mare L.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
10/2017
Peer-reviewed
Oui
Volume
96
Number
43
Pages
e8358
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis.
The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon.
Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula.
A two-step treatment was decided: first a nonoperative treatment was initiated with 2 weeks antibiotics administration, followed by, 6 weeks after, a segmental resection of the terminal portion of the colon with redo of a new colostomy by direct open approach.
Patient was discharged on the second postoperative day without complications. Follow-up at 2 weeks revealed centimetric dehiscence of the stoma, which was managed conservatively until sixth postoperative week by stomatherapists.
Treatment of acute diverticulitis with parastomal phlegmon in a patient with end-colostomy could primary be nonoperative. Delayed surgical treatment with segmental colonic resection was proposed to avoid recurrence and potential associated complications.
Keywords
Abdominal Neoplasms/surgery, Aged, Anus Neoplasms/surgery, Cellulitis/etiology, Colostomy/adverse effects, Diverticulitis, Colonic/etiology, Female, Humans, Perineum/surgery, Postoperative Complications/etiology, Surgical Stomas/adverse effects
Pubmed
Web of science
Open Access
Yes
Create date
16/11/2017 19:02
Last modification date
24/04/2021 6:33
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