A patient underwent stoma reversal surgery, and terminal ileum was connected to the sigmoid colon.
The patient underwent surgery due to toxic megacolon – ascending, transverse and descending colon were removed, the sigmoid colon was not removed (Hartmann). Ileostomy was established.
The postoperative period after establishing the anastomosis was complicated by postoperative ileus.
On day 7, a gastric tube was inserted due to massive vomiting. 1000 ml of gastric content were evacuated. Abdomen did not present with signs of peritoneal irritation, the scar after middle laparotomy showed slight cutaneous dehiscence at its inferior pole without signs of fascial dehiscence. High-pitch peristalsis could be heard just above left hypochondrium.
Abdominal ultrasonography:
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