Kim Hyeonkyeong, Kim Kwang Ho, Noh Gyoung Tae, Kim Ho Seung
Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Ewha Med J. 2023 Jul;46(3):e8. doi: 10.12771/emj.2023.e8. Epub 2023 Jul 31.
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.
已有结肠造口术的患者出现复发性结肠穿孔极为罕见，仅有少数病例报道。在此，我们报告2例老年患者在结肠造口近端出现复发性结肠穿孔，病因不同，分别可能由粪性穿孔和复发性结肠缺血引起。根据我们的经验，外科医生即使对已有结肠造口术的患者也应考虑纠正慢性便秘。此外，对于因结肠缺血导致复发性穿孔的乙状结肠造口患者，应考虑行横结肠造口术作为手术治疗方法。
