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
From the case:
Venous ischemia in a colonic stoma
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Circumferential edema of the colon as it passes thorugh the muscle of the anterior wall up to the stoma with edema in the surrounding fat. Back-up fecal distension of the colon proximal to the stomal edema.
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.