A Case of Septic Shock due to Bacterial Translocation after Ileostomy Closure

Abstract

A case of sepsis presumably caused by bacterial translocation after stoma closure is reported. A 71-year-old man had undergone laparoscopic super-low anterior resection and loop ileostomy for lower rectal cancer. Two months later, he underwent stoma closure and laparoscopic cholecystectomy. He started eating meals three days after surgery. He developed septic shock six days after the operation. The focus of the infection was not identified by several examinations ; therefore, it was thought that the septic shock had occurred due to bacterial translocation. It improved 4 days after the start of administration of intravenous and oral antibiotics and immune globulin and plasma products. Bacterial translocation should be considered when sepsis develops after stoma closure.