Fig. 2

The scheme depicting the prior surgical interventions before referral. The patient was transferred to our center with a loop colostomy of ascending colon, sigmoid colostomy with Hartman pouch and leakage from ileal anastomosis site (a). Scheme depicting ileal anastomosis takedown with creation of an ileostomy as the first management plan in our center (b). In The last operation, the colostomies were reversed and a side to side ileal anastomosis was created at the site of previous ileostomy (c)