Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon

Figure 2

Abdominal CT scan of the abdomen after 300 mL rectal gastrografin and 100 mL intravenous nonionized iodine contrast. Status after partial sigmoidectomy. Gross colonic distension (Ø 88 mm), especially marked at the splenic flexure, without pathological bowel wall thickening. Distension of the terminal ileum, with signs of wall thickening. No free air or fluid, no suture leakage, no abscess, and no signs of ischemia.