• Ann R Coll Surg Engl · Sep 2011

    Case Reports

    Defunctioning loop ileostomy: not always a safe option.

    • Philip T Davey, Nathan Burnside, Niall MacKenzie, David Conkey, James Carson, and Roderick T Skelly.
    • Department of General Surgery, Causeway Hospital, Coleraine, UK. phildavey@doctors.net.uk
    • Ann R Coll Surg Engl. 2011 Sep 1;93(6):e74-6.

    AbstractA 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdominal wall inferior to the loop ileostomy with associated crepitus and skin necrosis. The clinical diagnosis of necrotising fasciitis was confirmed radiologically on emergency computed tomography. The patient underwent an emergency debridement of the anterior abdominal wall.

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