Acute stomal necrosis, conservative management. Case report and literature review

Authors

  • Shirley Abigail López Bolaños
  • Quijije Delgado María Mercedes
  • Virginia Andrea González Palacios
  • Jazmin Jinmabel Zambrano Velez
  • Ericka Maria Vera Alay
  • William Josue Medina Montoya
  • Jaime Enrique Meza Salas
  • Gabriela Mercedes Ramírez Moya

DOI:

https://doi.org/10.34119/bjhrv6n4-219

Keywords:

surgery, digestive surgery, ostomy

Abstract

It is estimated that in the world in 2019 there were 1.3 million people living with an ostomy, and that each year in the US around 100,000 colostomies are made, most of which are performed due to trauma or cancer, offering a fairly good alternative In acute cases but they are not exempt from complications , one of the less frequent is ostomal necrosis which is generally managed surgically , we present the case of a patient who due to advanced cervical cancer had to undergo an urgent loop colostomy due to intestinal obstruction , which on the second day presented a purplish coloration and was managed conservatively and resolved spontaneously . We present this case as an alternative treatment for this ostomy complication for the knowledge of the scientific community.

References

Murken DR, Bleier JIS. Ostomy-Related Complications. Clin Colon Rectal Surg. mayo de 2019;32(3):176-82.

Heerschap C, Butt B. Algorithmic approaches to ostomy management: An integrative review. Nurs Open. 31 de agosto de 2021;8(6):2912-21.

C. Ambe* P, Rebecca Kurz* N, Nitschke C, F. Odeh S, Möslein G, Zirngibl H. Intestinal Ostomy. Dtsch Ärztebl Int. marzo de 2018;115(11):182-7.

Pine J, Stevenson L. Ileostomy and colostomy. Surg Oxf. 1 de abril de 2014;32(4):212-7.

Pappou EP, Kiran RP. The Failed J Pouch. Clin Colon Rectal Surg. junio de 2016;29(2):123-9.

den Dulk M, Smit M, Peeters KCMJ, Kranenbarg EMK, Rutten HJT, Wiggers T, et al. A multivariate analysis of limiting factors for stoma reversal in patients with rectal cancer entered into the total mesorectal excision (TME) trial: a retrospective study. Lancet Oncol. abril de 2007;8(4):297-303.

Sier MF, van Gelder L, Ubbink DT, Bemelman WA, Oostenbroek RJ. Factors affecting timing of closure and non-reversal of temporary ileostomies. Int J Colorectal Dis. septiembre de 2015;30(9):1185-92.

Kanaghinis T, Lubran M, Coghill NF. THE COMPOSITION OF ILEOSTOMY FLUID. Gut. diciembre de 1963;4(4):322-38.

Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum. diciembre de 1999;42(12):1569-74.

Vonk-Klaassen SM, de Vocht HM, den Ouden MEM, Eddes EH, Schuurmans MJ. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res. 2016;25:125-33.

Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TRC, Lunniss PJ. Complications of intestinal stomas. Br J Surg. diciembre de 2010;97(12):1885-9.

McErlain D, Kane M, McGrogan M, Haughey S. Clinical protocols for stoma care: 5. Prolapsed stoma. Nurs Stand R Coll Nurs G B 1987. 14 de enero de 2004;18(18):41-2.

Kwiatt M, Kawata M. Avoidance and Management of Stomal Complications. Clin Colon Rectal Surg. junio de 2013;26(2):112-21.

Arumugam PJ, Bevan L, Macdonald L, Watkins AJ, Morgan AR, Beynon J, et al. A prospective audit of stomas--analysis of risk factors and complications and their management. Colorectal Dis Off J Assoc Coloproctology G B Irel. enero de 2003;5(1):49-52.

Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME. Complications and mortality following stoma formation. Ann R Coll Surg Engl. noviembre de 2005;87(6):427-31.

Meguid MM, McIvor A, Xenos L. Creation of a neoabdominal wall to facilitate emergency placement of a terminal ileostomy in a morbidly obese patient. Am J Surg. abril de 1997;173(4):298-300.

Krishnamurty DM, Blatnik J, Mutch M. Stoma Complications. Clin Colon Rectal Surg. julio de 2017;30(3):193-200.

Tsujinaka S, Suzuki H, Miura T, Sato Y, Murata H, Endo Y, et al. Diagnosis, Treatment, and Prevention of Ileostomy Complications: An Updated Review. Cureus [Internet]. enero de 2023 [citado 25 de junio de 2023];15(1). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883118/

Rocha, K. N. S., Mendonça, N. T., Vida, L. M., Matos, J. O., Nova, A. S. V., Silva, E. R., Nogueira, I. R. S. G., Canêdo, L. M., & Fonseca, P. S. (2022). O tratamento cirúrgico da diverticulite colônica aguda / Surgical treatment of acute colonic diverticulitis. Brazilian Journal of Health Review, 5(2), 4427–4442. https://doi.org/10.34119/bjhrv5n2-036.

Da Costa, H. D., de Barros, M. V. O., Carvalho, K. A., Brito, M. C. M. L., Oliveira, I. S. V., Cruz, H. J. R., de Oliveira, M. A. S., Gutierrez, J. de Ávila, Lima, L. C. A. de, & Lacerda, L. J. F. (2023). Perfil epidemiológico das internações por câncer do cólon em Porto Velho, Rondônia, em um período de 10 anos. Brazilian Journal of Health Review, 6(2), 7379–7387. https://doi.org/10.34119/bjhrv6n2-231

Published

08/08/2023

How to Cite

BOLAÑOS, S. A. L.; MERCEDES, Q. D. M.; PALACIOS, V. A. G.; VELEZ, J. J. Z.; ALAY, E. M. V.; MONTOYA, W. J. M.; SALAS, J. E. M.; MOYA, G. M. R. Acute stomal necrosis, conservative management. Case report and literature review. Brazilian Journal of Health Review, [S. l.], v. 6, n. 4, p. 16873–16881, 2023. DOI: 10.34119/bjhrv6n4-219. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/61989. Acesso em: 18 oct. 2026.

Issue

Section

Original Papers