Question

On examination of a 4/7 post bowel resection client with a temporary stoma, you find the stoma to be dark red, hard, dry and inactive. They also exhibit abdominal distension.

Answer 1

This can be due to inadequate arterial blood supply within 24 hrs post bowel resection.ie signs of ischemia.

This can happen due to inappropriately divided vascular arcade supplying the left colon.

The colonic vessels placed under too much tension can lead to endothelial damage and decreased perfusion.

Excessive tension or delayed thrombosis in the mesenteric vessels adjacent to the ileostomy may be a contributing factor in some patients.