An Adolescent with an Ostomy and Abdominal Pain

Marie Dawlett; Amy Gonzalez

doi:10.1007/978-3-031-62517-6_17

An Adolescent with an Ostomy and Abdominal Pain

Marie Dawlett
, Amy Gonzalez

Pediatrics

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Ostomies are created to divert the colon or the small intestine through the abdominal wall. They are performed when a portion of the colon or rectum needs to be bypassed or removed in the management of a variety of pathologic conditions. A parastomal hernia should be considered as a cause of small bowel obstruction in any patient with an ostomy. When a patient with a stoma presents with a fever, the differential includes parastomal infection or parastomal hernia with obstruction. High-output ostomies (>1.5–2 L/day for adolescents and >20–30 ml/kg for infants/children) can cause severe dehydration and electrolyte abnormalities.

Original language	English (US)
Title of host publication	Children with Medical Complexity in the Emergency Department
Subtitle of host publication	A Case-Based Guide
Publisher	Springer International Publishing
Pages	151-156
Number of pages	6
ISBN (Electronic)	9783031625176
DOIs	https://doi.org/10.1007/978-3-031-62517-6_17
State	Published - Jan 1 2024

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-031-62517-6_17

Cite this

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N2 - Ostomies are created to divert the colon or the small intestine through the abdominal wall. They are performed when a portion of the colon or rectum needs to be bypassed or removed in the management of a variety of pathologic conditions. A parastomal hernia should be considered as a cause of small bowel obstruction in any patient with an ostomy. When a patient with a stoma presents with a fever, the differential includes parastomal infection or parastomal hernia with obstruction. High-output ostomies (>1.5–2 L/day for adolescents and >20–30 ml/kg for infants/children) can cause severe dehydration and electrolyte abnormalities.

AB - Ostomies are created to divert the colon or the small intestine through the abdominal wall. They are performed when a portion of the colon or rectum needs to be bypassed or removed in the management of a variety of pathologic conditions. A parastomal hernia should be considered as a cause of small bowel obstruction in any patient with an ostomy. When a patient with a stoma presents with a fever, the differential includes parastomal infection or parastomal hernia with obstruction. High-output ostomies (>1.5–2 L/day for adolescents and >20–30 ml/kg for infants/children) can cause severe dehydration and electrolyte abnormalities.

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ER -

An Adolescent with an Ostomy and Abdominal Pain

Abstract

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