542 Background: Patients with advanced primary or recurrent colorectal cancers that undergo total pelvic exenteration for cure or palliation require proximal urinary and fecal diversion. The most commonly used diversion technique is use of an ileal conduit (IC) and end colostomy. At our institute, the double-barreled wet colostomy (DBWC) has been shown to be have similar outcomes and technicall...

(See pages 1030–1 for the Photo Quiz) Figure 1. The dimensions and the unilateral, flattened shape of the longitudinally sectioned structures clearly identify these as eggs of Enterobius vermicularis (thin arrows). The thick arrow indicates an elongated structure protruding from 1 of the eggs; this represents a hatching larva trapped in the inflammatory mass (original magnification, ϫ40). Diagn...

The article presents a clinical case of the staged treatment patient with functioning colostomy and segmental form Hirschsprung's disease. Challenges in diagnosing determining tactics reconstructive restorative surgery appropriate cases were demonstrated absence adequate medical documentation.