What symptoms may indicate an anastomotic leak after colostomy surgery?

An anastomotic leak is a serious complication that can occur following colostomy surgery, where there is a breakdown in the surgical connection between two segments of the intestine. Recognizing the symptoms of an anastomotic leak is crucial for timely intervention.

In this case, the correct answer highlights abdominal distention and a high white blood cell count. Abdominal distention occurs when there is a buildup of gas or fluid in the abdomen, often signaling a disturbance in normal intestinal function or an accumulation of material due to a leak. The presence of a high white blood cell count usually indicates an inflammatory response or infection, which can be associated with complications like an anastomotic leak. Together, these symptoms suggest that the body is responding to a concerning internal issue that may require urgent medical attention.

In contrast, the other options provide a limited or misleading picture of the symptoms associated with anastomotic leaks. While nausea and vomiting may occur for various reasons and could signal other problems, they are not definitive indicators of a leak. High blood pressure combined with abdominal pain could indicate various conditions, such as a stress response or other medical issues, and is not specific to anastomotic leaks. Lastly, signs of constipation and lethargy do