When an ileostomy goes wrong

A surgical case highlights that recovery is about much more than just managing the operative site

Angela, a 79-year-old part-time administrative assistant, recently underwent an emergency laparotomy for a strangulated femoral hernia with associated ischaemic bowel, which required the formation of a double-barrel ileostomy.

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Approximately three weeks post-discharge, Angela presents with difficulty managing her stoma.

She reports the output is liquid, and she needs to empty her stoma bag at least five times a day.

She estimates daily stoma output is more than 2L. She also reports