Re-infusion of high output effluent from a loop jejunostomy into its distal limb through a subcutaneously implanted catheter in a patient with co-existing acute purulent peritonitis and acute small bowel obstruction: A case report

Abstract

Diverting jejunostomy is almost always a last ditch effort in a situation of abdominal catastrophe. Although it is life-saving, it may adversely affect the patient’s metabolic status and renal function. Consequentially an emergency jejunostomy should be a temporary measure and should be closed as early as possible. We present a unique case where the creation of а temporary loop jejunostomy was indicated. To prevent acute renal failure, we re-infused the stoma effluent into its distal limb through a Foley catheter. The latter was implanted subcutaneously which allowed us to re-feed the stoma without disturbing the appliance seal. The patient recovered on oral intake without the use of total parenteral nutrition.