{Reference Type}: Case Reports
{Title}: Management of a Peristomal Abscess in a Patient With an Ileostomy: A Case Study.
{Author}: Wei H;Qiu J;Li A;Hu H;
{Journal}: J Wound Ostomy Continence Nurs
{Volume}: 51
{Issue}: 1
{Year}: 2024 Jan-Feb 1
{Factor}: 1.97
{DOI}: 10.1097/WON.0000000000001047
{Abstract}: BACKGROUND: Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care.
METHODS: Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy.
CONCLUSIONS: The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.