Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon
We present the case of a 58-year-old man who underwent urgent blowhole colostomy for toxic megacolon (TM) secondary to Clostridium difficile infection (CDI). This infection occurred under antibiotic coverage with amoxicillin-clavulanic acid, four days after laparoscopic sigmoidectomy in our hospital...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/5909248 |
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| author | Jeroen Kerstens Ian Diebels Charles de Gheldere Patrick Vanclooster |
| author_facet | Jeroen Kerstens Ian Diebels Charles de Gheldere Patrick Vanclooster |
| author_sort | Jeroen Kerstens |
| collection | DOAJ |
| description | We present the case of a 58-year-old man who underwent urgent blowhole colostomy for toxic megacolon (TM) secondary to Clostridium difficile infection (CDI). This infection occurred under antibiotic coverage with amoxicillin-clavulanic acid, four days after laparoscopic sigmoidectomy in our hospital. Although prospective clinical research regarding the surgical management of TM is lacking, decompressive procedures like blowhole colostomy are reported to carry a high risk of postoperative morbidity and mortality and are widely regarded as obsolete. Subtotal or total colectomy with end ileostomy is currently considered the procedure of choice. After presenting our case, we discuss the literature available on the subject to argue that the scarce evidence on the optimal surgical treatment for TM is primarily based on TM associated with inflammatory bowel diseases (IBD) and that there might be a rationale for considering minimally invasive procedures like blowhole colostomy for CDI-associated TM. |
| format | Article |
| id | doaj-art-01e06f7520af465492b13dccbc2a44d0 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-01e06f7520af465492b13dccbc2a44d02025-02-03T01:27:26ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/59092485909248Blowhole Colostomy for Clostridium difficile-Associated Toxic MegacolonJeroen Kerstens0Ian Diebels1Charles de Gheldere2Patrick Vanclooster3Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, BelgiumFaculty of Medicine and Health Sciences, University of Antwerp, Edegem, BelgiumDepartment of General Surgery, Heilig-Hartziekenhuis, Lier, BelgiumDepartment of General Surgery, Heilig-Hartziekenhuis, Lier, BelgiumWe present the case of a 58-year-old man who underwent urgent blowhole colostomy for toxic megacolon (TM) secondary to Clostridium difficile infection (CDI). This infection occurred under antibiotic coverage with amoxicillin-clavulanic acid, four days after laparoscopic sigmoidectomy in our hospital. Although prospective clinical research regarding the surgical management of TM is lacking, decompressive procedures like blowhole colostomy are reported to carry a high risk of postoperative morbidity and mortality and are widely regarded as obsolete. Subtotal or total colectomy with end ileostomy is currently considered the procedure of choice. After presenting our case, we discuss the literature available on the subject to argue that the scarce evidence on the optimal surgical treatment for TM is primarily based on TM associated with inflammatory bowel diseases (IBD) and that there might be a rationale for considering minimally invasive procedures like blowhole colostomy for CDI-associated TM.http://dx.doi.org/10.1155/2016/5909248 |
| spellingShingle | Jeroen Kerstens Ian Diebels Charles de Gheldere Patrick Vanclooster Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon Case Reports in Surgery |
| title | Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon |
| title_full | Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon |
| title_fullStr | Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon |
| title_full_unstemmed | Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon |
| title_short | Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon |
| title_sort | blowhole colostomy for clostridium difficile associated toxic megacolon |
| url | http://dx.doi.org/10.1155/2016/5909248 |
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