A Case of Perforation of the Stoma Limb Successfully Treated by Symptomatic Treatment

Abstract

A 95-year-old woman who underwent the Hartmann’s procedure seven years ago was transported to the emergency room due to difficulty in moving and eating. She was urgently hospitalized with a diagnosis of electrolyte imbalance due to severe dehydration, prerenal renal failure, and impaired consciousness. During the course of this illness, she developed fever of sudden onset, and redness, swelling, tenderness, and a high inflammatory response around the stoma was observed. CT was performed and a diagnosis of perforation of the stoma limb was made. Because of the high surgical risk, we performed local incision and drainage for the purpose of infection control, and started her on treatment with antibacterial drugs. In response to the treatment, the inflammation subsided, and after confirming the external fistula of the stoma perforation, meals were resumed. Ten months have passed since the procedure, and the patient remains alive.