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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662


TORRICO VILTE, Juan Pablo; TORRICO CAMACHO, Jose Alberto  and  TORRICO VILTE, Maryliz. Fibrinopurulent segmental colitis in ostomy. Gac Med Bol [online]. 2010, vol.33, n.2, pp.35-40. ISSN 1012-2966.

A prospective and retrospective research was carried out at trie Caja Nacional de Salud at Cochabamba whithin Janaury 1999 and May 2009. 185 cases of colon surgery were studied; 112 (60,5%) cases out of them corresponded to Hartmann, type 35 (19%) cases to colostomies, 28 (15,1%) cases to Wangensteen and 10 (5,4%) to Miles. As far as to morbility due to surgical procedures the following was found: edema, chemical dermatitis, bleedings, peri-colostemic abscess, mouth retraction, partial and total necrosis, stegnosis, partial and total detachment, eversión, internal hernias, prolapsus, fístula, perforation, evisceration and psichological illnesses were frequent complications of colostomies. Casually we found 3 (1,6%) cases of purulent fibrinous segmentary colitis in Wangensteen transversostomies. There is no reference to this kind of complications in any of the checked biography. We think it is possible to occur in any of the other coloctomies. Its cause is an over infection due to a bad treatment of ostomy. Because of this singularity we consider that purulent fibrinous segmentary colitis should be taken into account in the classification of morbility in colostomies. Finally, we had a morbility in three cases (1,6%) due to total detachment of the Hartmann ostomy due to sepsis and este reo rea co us peritonitis.

Keywords : Ostomies; purulent fibrinous segmentary colitis.

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