| 000 | 01872cam a2200193 4500 | ||
|---|---|---|---|
| 001 | NMDX7170 | ||
| 008 | 120401t2017 xxu||||| |||| 00| 0 eng d | ||
| 100 | _aLuck, J. | ||
| 240 | _aJournal of Surgical Case Reports | ||
| 245 | _aConservative management of migrated pecutaneous endoscopic colostomy tube | ||
| 260 | _c2017 | ||
| 500 | _aNMUH Staff Publications | ||
| 500 | _a1 | ||
| 520 | _a<span style="font-size: 10pt;">A 68-year-old male nursing home resident presented following dislodgement of a percutaneous endoscopic&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">colostomy</span>&nbsp;(PEC) tube originally sited to prevent recurrent sigmoid volvulus. Computed tomography demonstrated tube migration into the lumen of the recto-sigmoid junction, where it remained for 12 days before passing spontaneously. During this period, the patient remained asymptomatic; the residual colocutaneous fistula functioned as a decompressive valve. Originally, the patient was due to be discharged with early flexible sigmoidoscopy follow-up. However, complex social issues delayed discharge. During his admission, a second PEC tube was successfully inserted next to the previous&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">colostomy</span>&nbsp;site without complication. This is an unusual case and no similar episodes of asymptomatic PEC migration have been reported. We demonstrate that such cases may be offered an appropriate trial of conservative management. Here, we describe our experience and critically appraise the literature.</span> | ||
| 700 | _aHarris, L.S. | ||
| 700 | _aBashir, G. | ||
| 856 | _uhttps://www.ncbi.nlm.nih.gov/pubmed/28064245 | ||
| 856 | _uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218994/pdf/rjw227.pdf | ||
| 999 |
_c76159 _d76159 |
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