Venous ischaemia in a colonic stoma

Case contributed by Dr Chris O'Donnell

Presentation

PH Abdomino-perineal resection for low rectal cancer (years ago). Now stoma is not working has developed severe abdominal pain. Stoma is swollen.

Patient Data

Age: 40
Gender: Female
Modality: CT

Circumferential oedema of the colon as it passes thorugh the muscle of the anterior wall up to the stoma with oedema in the surrounding fat. Back-up faecal distension of the colon proximal to the stomal oedema.

Case Discussion

The colon is effectively "strangled" as it passes through the abdominal wall musculature causing secondary mural odema and luminal obstruction due to venous obstruction.

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Case Information

rID: 43622
Case created: 19th Mar 2016
Last edited: 23rd Mar 2016
Inclusion in quiz mode: Included

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