Posted by C S Loh on February 15, 1998 at 10:30:22:
I am reposting this as it did not appear to have received any attention.
Mid-40 female underwent a Wertheim at St. Elsewhere. Developed peritonitis and started
leaking urine pv. IVU showed gross SB distention & dilated Lt upper tract to pelvic
ureter. JJ stenting carried out about 1 week after Wertheim did not stop urine leak. Later
leaking faecal material p.v. Laparotomy and Lt ureter re-implantation was carried out with
defunctiong loop sigmoid colostomy. Stormy course post-op. Continue to leak urine p.v. and
later leaked ?urine per mucous fistula of her loop colostomy. CMG apparently in keeping
with GSI. Methylene blue test reportedly negative! What is going on?