Revista chilena de cirugía
On-line version ISSN 0718-4026
MOYA F, Pedro et al. Bleeding ileitis following ileostomy. Rev Chil Cir [online]. 2012, vol.64, n.5, pp. 480-482. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000500013.
Background: The incidence of ileitis following ileostomy is 5%. Material and Method: We report a 79 years old male with a sigmoid cancer presenting with an intestinal obstruction. Results: Patient required a subtotal colectomy, leaving a terminal ileostomy in the right lower flank. Three days after the intervention, the patient had a profuse bleeding through the ileostomy. An emergency endoscopy showed multiple bleeding ulcers in the ileostomy. The patient did not respond to medical treatment and required a new intervention, excising 20 cm of distal ileum and performing a new ileostomy. The pathological study of the excised segment showed multiple superficial ulcers with abundant inflammatory cells.
Keywords : Ileitis; ileostomy; bleeding.