Name of Patient: Jesus Lozada CasabuenaChief Complaint: Difficulty of BreathingDiagnosis: Pneumonia in an Immunocompromised host; PTB4; T/C colonic CA S/PColostomy; Pleural Effusion (Left) probably parapneumonic
Line drawing showing a permanent colostomy for rectalcancer.
is a surgical procedure that involves connecting a part of thecolononto theanterior abdominal wall, leaving the patient with an opening on theabdomencalled astoma. In a colostomy, the stoma is formed from the end of thelarge intestine, which isdrawn out through theincisionandsuturedto the skin. After a colostomy,fecesleave the patient's body through the abdomen. A colostomy may be permanent or temporary,depending on the reasons for its use.There are many reasons for this procedure. Some common reasons are:
A portion of the colon (or ileum) has been operated upon and needs to be 'rested'until it is healed. In this case, the colostomy is often temporary and is usuallyreversed at a later date, leaving the patient with a smallscar in place of the stoma.Children undergoing surgery for extensive pelvic tumorscommonly are given acolostomy in preparation for surgery to remove the tumor, followed by reversal of the colostomy.