The Effect of Anticoagulants on Stoma: A Case Study at Al-Wali Hospital, Aden, Yemen

Abstract

This case report describes the complications of anticoagulant therapy in a 64-year-old patient who had since had rectal cancer and persistent colostomy due to surgery after. During anticoagulation therapy for potential venous thrombosis, the patient was treated for bilateral lower limb edema and colostomy hemorrhage and had signs of generalized problems. Managing anticoagulation in these patients is especially problematic because of the background of the concomitant risk of thrombosis bleeding, especially at the stoma site, which is rich in vasculature and is easily traumatized or contaminated. This report presents the patient's clinical features, diagnostic approach, therapeutic options, and outcome. The anticoagulation of stoma patients is viewed from a broader perspective, highlighting the role of individual therapy and a multidisciplinary approach. In view of this situation, a specific, research-evidence-based recommendation regarding the management of anticoagulants in the stoma patients for the purpose of having the efficacy leading to safety would be warranted.