abdominal abscess and drainage months after Ileostomy emergency surgery

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Roliie
Regular Member


Date Joined May 2009
Total Posts : 33
   Posted 7/26/2009 3:14 PM (GMT -6)   
My husband had emergency surgery for UC caused toxic mega colon and had perforated his colon last Nov, developed septic shock etc. After many complications and a 70 day hospital stay he has been home since mid January. He developed an abdominal abscess a couple of weeks after surgery, they drained it percutaneously from and area on his left flank (back). Three times it has been drained proven collapsed by CT and has returned. The last time was April. they have had a drain in since April and even though the abscess is gone now there is still drainage of about 30 cc every day. When it is cultured it shows normal gut flora. Surgeon suspected a fistula and has done a sinogram 4 times. All show no communication with the bowel. We wondered if maybe there was a bit of gauze or sponge left in his causing the abscess but they cannot see anything on CT. The surgeon is now suggesting exploratory surgery for the reason she thinks there could be a pin hole perf in in small colon but she admits she is just guessing. Radiologist thought the discharge looked like lymph fluid and tried to talk the surgeon into left her treat it as such, the surgeon would not agree.

Does anyone have eny experience or knowledge that could help us? Lymph drainage what is that all about? Abscess after perf gut?

He is doing quite well finally gained some weight, appetite is improved, white blood count normal. Leaning to live with ileostomy however clothing is an issue and I will be back with a question about that, the stoma is right where his belt would be. He is 58 and in perfect health until last Oct when he developed a bout of UC that turned very bad very fast.

thank you

nene205
Regular Member


Date Joined Jun 2007
Total Posts : 302
   Posted 7/26/2009 4:55 PM (GMT -6)   
I am so sorry that your husband has had such a trying time. I wonder why the surgeon put his stoma so high up?

Roliie
Regular Member


Date Joined May 2009
Total Posts : 33
   Posted 7/26/2009 5:41 PM (GMT -6)   
thank you. We are not sure why she choose that site, because it happened so fast no one asked him and we didnt know enough to say. For men where do they usually locate the stoma?

mikeman
Regular Member


Date Joined Jul 2009
Total Posts : 66
   Posted 7/26/2009 11:04 PM (GMT -6)   
the stomas for ileostomy patients are put slightly above the belt line. don't worry that is normal.
colostomy patients have stomas lower.

Age:31 Married with children.
--
Ulcerative Colitis cause: In 2003 I took Accutane for about 4 months, strong side effects of abdominal cramping and bloody stools.
May 2004: Diagnosed with Left sided UC -should have understood the IBD warning and should've never taken the dangerous drug
known as Accutane.
May 2004- May 2009: Prednisone, Asacol and many other med's that did not work well-Remicade was great for 16 months then suddenly stopped working.
---
May -June 2009: Pancolitis- chronic 2 month flare up that put me out of work and made me seriously think about surgery.
June 24th 2009: elective colectomy/ileostomy at Barnes/Washington University.
August 2009: planned rectum removal and j-pouch construction.
October-November 2009: planned Reversal.
----
Summary: Suffered 5 long years with severe Ulcerative Colitis, Anxiety and depression.
No more diseased colon. No more running to the bathroom 20+ times a day. No more cramping and bleeding. Satisfied with first surgery.
Red Text


Roliie
Regular Member


Date Joined May 2009
Total Posts : 33
   Posted 7/27/2009 7:23 AM (GMT -6)   
Thank you. So how does a man deal with the belt and waistband on jeans etc? Right now he is wearing 36 inch waist and he is about a 33inch to avoid pressure on the stoma/bag and also his scare tissue is still tender. He is using suspenders, never worn them his life before but cant figure out the clothing for this?

He wasnt able to be stiched up because of all the sepis and infection, it hs healed really well but the scare is about 3 inches wide and still very new skin.

Chasblah
Veteran Member


Date Joined Feb 2007
Total Posts : 788
   Posted 8/1/2009 9:13 PM (GMT -6)   
I had multiple abscesses and peritonitis after my 1st surgery. They never found out why, but I had to have another surgery to clean me out. And re-do my ostomy. it was a scary time, but they got all under control, and I'm doing great.
I hope the same happens for your husband, and they get all under control, so he can move on with is life.
Chassity
28 yrs. old. married with one beautiful daughter (born 11/20/07)
-diagnosed with severe pancolitis u/c 2002 had total colectomy 12/19/08; emergency surgery due to abscess-had to redo ileostomy and switch to left side 12/25/08; 2/15/09 found blood clot in superior mesenteric vein (prob. from inf. and surgery inflammation)
coumadin, prenatal vit.
(temporary ileostomy....maybe)

"Things turn out the best for those who make the best of the way things turn out."


Nonnielupe
New Member


Date Joined Jan 2013
Total Posts : 1
   Posted 1/13/2013 9:42 PM (GMT -6)   
I am a 62 year old female who had a total colectomy 5 years ago for a rectal cancer. I have an iliostomy working great. I have had unexplained vaginal drainage off and on since the surgery. I have had drains put in 2 times to drain out a fluid collection behind the vaginal wall. I now have a lower abdominal abscess that is draining vaginally it was cultured as normal vaginal flora. A wek ago a drain was tried to put in and the doctor could not penetrate the fluid collection under ct guidance. I am waiting to have it done. My surgeon wants to do this procedure with a follow up fistula gram after wearing the drain for 2 weeks. He is sure by handling it this way it will make it easier for him to locate the source of the fluid. Has anyone experienced this problem? It has been 5 years post op, but the vaginal draining really has never stopped all together

Post Edited (Nonnielupe) : 1/14/2013 6:08:56 AM (GMT-7)

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