A Case of Unresectable Rectal Necrosis
Author Information
Author(s): Nassif Mohammed, Ameer Ahmed, Meterissian Sarkis H., Meguerditchian Ari-Nareg
Primary Institution: McGill University Health Centre
Conclusion
The case illustrates that a diverting ostomy of the proximal viable bowel along with a mucus fistula and good drainage of the abdomen is an acceptable alternative when extensive dissection is unsafe.
Supporting Evidence
- The patient presented in septic shock with multiple comorbidities.
- Colonoscopy revealed ischemic colitis managed conservatively.
- Exploratory laparotomy showed extensive necrosis of the colon and rectum.
- Due to the patient's critical condition, resection was deemed unsafe.
Takeaway
This study is about a woman who had a serious problem with her rectum that couldn't be fixed by surgery, so doctors created a new way for her body to get rid of waste instead.
Methodology
The patient was treated conservatively and later underwent exploratory laparotomy due to complications, where a transverse ostomy and mucous fistula were created.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
A 53-year-old Caucasian female with multiple medical comorbidities.
Digital Object Identifier (DOI)
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