This is a patient who admitted for NKHS, septic shock , pyelonephritis....He was intubated intially and noted with acute renal e failure. Hemodialysis was considered for him once - but he managed to recovered and extubated. He was planned to be transferred out ICU when he was noted with fever again. A red patch with local heat was noted over his rt flank. The cellulitis than worsen and abscess was form. No I and D was done and it ruptured. Initially pus was noted then brownish substance came out form the hole - substance same as what came out from the ASS. He had went into respiratory failure last night due to sepsis and was intubated.
Well, a GS consult was done and no indication was ops now. The surgeon told us to put on a bag and treat it as a colostomy while waiting for his sepsis to subside...
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| putting on colostomy bag | closer look |
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