Recurrent Colonic Perforation in Geriatric Patients with Sigmoid Colostomy: Two Case Reports

Recurrent colonic perforation in patients already having colostomy is extremely rare and only a few cases had been reported. Herein, we report 2 cases of recurrent colonic perforation at the proximal part of the colostomy in geriatric patie...

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Bibliographic Details
Main Authors: Hyeonkyeong Kim, Kwang Ho Kim, Gyoung Tae Noh, Ho Seung Kim
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2023-07-01
Series:The Ewha Medical Journal
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Online Access:http://www.e-emj.org/archive/view_article?pid=emj-46-3-8
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Summary:Recurrent colonic perforation in patients already having colostomy is extremely rare and only a few cases had been reported. Herein, we report 2 cases of recurrent colonic perforation at the proximal part of the colostomy in geriatric patients resulting from different causes, which might be caused by stercoral perforation and recurrent colonic ischemia, respectively. Based on our experience, surgeons should consider correcting chronic constipation even in patients who already have a colostomy. Additionally, transverse colostomy should be considered as a surgical treatment in patients with sigmoid colostomy for recurrent perforation due to colonic ischemia.
ISSN:2234-2591