0
A 43-year-old morbidly obese man is undergoing a Hartmann procedure for Hinchey IV perforated diverticulitis. Two days postoperatively, the ostomy has retracted below the skin and appears purple. The patient remains afebrile and hemodynamically normal without peritonitis. Intubation of the colostomy with a test tube reveals black mucosa proximal to the fascia. What is the next step in management?
There's more to see -- the rest of this topic is available only to subscribers.
Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717168/all/. Accessed 20 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717168/all/. Accessed April 20, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717168/all/
[Internet]. In: ASCRS Question Bank. [cited 2026 April 20]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717168/all/.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 -
ID - 3717168
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717168/all/
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

