Titre
End-colostomy diverticulitis with parastomal phlegmon: A case report.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Muradbegovic, M.
Auteure/Auteur
St-Amour, P.
Auteure/Auteur
Martin, D.
Auteure/Auteur
Petermann, D.
Auteure/Auteur
Benabidallah, S.
Auteure/Auteur
Di Mare, L.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1536-5964
Statut éditorial
Publié
Date de publication
2017-10
Volume
96
Numéro
43
Première page
e8358
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
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.
PID Serval
serval:BIB_CA4B55207F21
PMID
Open Access
Oui
Date de création
2017-11-16T17:02:13.369Z
Date de création dans IRIS
2025-05-20T22:44:38Z
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Nom
PMID29069019.pdf
Version du manuscrit
published
Taille
496.79 KB
Format
Adobe PDF
PID Serval
serval:BIB_CA4B55207F21.P001
URN
urn:nbn:ch:serval-BIB_CA4B55207F219
Somme de contrôle
(MD5):3dac54a4d371b2464f0adaa2cdb3ce0f