A Case of Loop Colostomy at the Umbilicus

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  • Toyota K.
    Department of Surgery, National Hospital Organization Higashihiroshima Medical Center
  • Nambu J.
    Department of Surgery, National Hospital Organization Higashihiroshima Medical Center
  • Takahashi T.
    Department of Surgery, National Hospital Organization Higashihiroshima Medical Center
  • Ikeda M.
    Department of Surgery, National Hospital Organization Higashihiroshima Medical Center
  • Tokumoto N.
    Department of Surgery, National Hospital Organization Higashihiroshima Medical Center

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  • 臍部に双孔式ストーマを造設した１例

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Abstract

A gastrointestinal stoma has often been created at the lower abdomen according to the principle of the Cleveland Clinic which proposes that the umbilicus should be avoided. We experienced a case of colostomy at the umbilicus, to which good care was given. A 74-year-old female, with a past history of chronic renal failure, anemia, sick sinus syndrome, chronic heart failure, and cerebral infarction, was admitted to the hospital for colonic obstruction due to transverse colon cancer. Since resection under general anesthesia was judged to carry a high risk, she underwent transverse loop colostomy under local anesthesia. Considering her small and slim build, the possibility of securing a flat surface area for attachment of a pouch, and her bedridden condition, a stoma was created at the umbilicus. Her postoperative clinical course was uneventful, and after it was confirmed that her family members were able to provide stoma care, she was discharged from the hospital. Although cases requiring colostomy have decreased recently, the umbilicus may be a good candidate site for colostomy.<br>

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