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Chirurgia (Bucur) ; 101(4): 433-6, 2006.
Article in Romanian | MEDLINE | ID: mdl-17059158

ABSTRACT

A case of a 64 years old female patient who had had a Miles operation 6 years ago for rectal cancer and at the present hospital admission she came in with a severe infection around her left colostomy. Initially, she presented a quite localized peristomal infection but, subsequently, the infection has evolved to an extensive necrotizing fasciitis of the abdomen, a large dehiscence of colostomy and severe sepsis. Repeated surgery and transverse colostomy, to put at rest infected left colostomy, plus aggressive medical treatment resulted in a good recovery, with the wounds healing and redo of the left colostomy. Now she is on the waiting list to get rid of the transverse colostomy.


Subject(s)
Abdomen/pathology , Colostomy/adverse effects , Fasciitis, Necrotizing/etiology , Fasciitis, Necrotizing/surgery , Female , Humans , Middle Aged , Rectal Neoplasms/surgery , Reoperation , Treatment Outcome
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