case_images: PMC7327875_01
case_images: Skin redness and erosion formation.
case_images: gr1.jpg
case_images: PMC7327875_01_gr1.jpg
case_images: fig0005
case_images: The intestinal fluid extensively stimulated the skin, causing redness and the formation of erosions and resulting in a refractory ECF with spontaneous pain (Fig. 1).
case_images: Skin irregularities appear due to granulation.
case_images: gr2.jpg
case_images: PMC7327875_01_gr2.jpg
case_images: fig0010
case_images: Although increasing the negative pressure from -30 to -50 cmH2O decreased the leakage and temporarily improved the skin erosion and granulation, further skin depression appeared due to the formation of granulation, enabling the pouch to adhere to the skin and worsening the skin symptoms (Fig. 2).
case_images: Fluoroscopy.
case_images: gr3.jpg
case_images: PMC7327875_01_gr3.jpg
case_images: fig0015
case_images: Two months after construction of the ileostomy, percutaneous intestinal puncture was performed under fluoroscopy, and contrast medium was injected to confirm the running of the oral intestinal tract (Fig. 3).
case_images: a, b: After percutaneous intestinal drainage.
case_images: gr4.jpg
case_images: PMC7327875_01_gr4.jpg
case_images: fig0020
case_images: The incised intestinal wall, peritoneal fascia and the skin were closed with sutures, and then the operation was completed (Fig. 4a, b).
case_images: a, b: Erosion improvement and suture closure.
case_images: gr5.jpg
case_images: PMC7327875_01_gr5.jpg
case_images: fig0025
case_images: This treatment clearly reduced discharged fluid and both the skin redness and erosion gradually improved (Fig. 5a). Both the opened intestinal wall and skin were closed (Fig. 5b).
case_images: After removing the drainage catheter.
case_images: gr6.jpg
case_images: PMC7327875_01_gr6.jpg
case_images: fig0030
case_images: No subsequent problems were noted in the abdominal findings (Fig. 6).