Stories from the bedside. Whose goal of care is it? A colostomy patient with a peristomal lesion of uncertain aetiology.
This case involves a patient with a new colostomy who successfully managed her stoma for over 9 months. Suddenly she developed a peristomal lesion that became increasingly painful with time. The aetiology was not obvious. There was no prior problem with stoma management or history of non-healing wou...
| Publicado en: | World Council of Enterostomal Therapists Journal Vol. 27; no. 4; pp. 20 - 23 |
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| Autor principal: | |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Cambridge Publishing
2007 Oct-Dec
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | This case involves a patient with a new colostomy who successfully managed her stoma for over 9 months. Suddenly she developed a peristomal lesion that became increasingly painful with time. The aetiology was not obvious. There was no prior problem with stoma management or history of non-healing wounds. It appeared that the wound might be caused by pressure from the ostomy appliance. Multiple treatments were tried. Initially each regimen was successful, then failed. The patient was referred to another clinician for a second opinion and subsequently treated for possible pyoderma gangrenosum. The lesion also improved with treatment, then deteriorated. Eventually the wound did heal. The determined cause of the peristomal ulcer was pressure from the flange of the ostomy appliance. This diagnosis was re-confirmed when the patient returned later with the same problem. |
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