Early post-operative complication of ileostomy in the post-operative period
**Core Concept**
The question is testing the student's knowledge of potential complications that can arise in the post-operative period following ileostomy creation. Ileostomy is a surgical procedure that involves diverting the flow of fecal matter from the gastrointestinal tract to an opening in the abdominal wall, which can lead to various complications.
**Why the Correct Answer is Right**
One of the early post-operative complications of ileostomy is **ileus**. Ileus is a condition characterized by the temporary cessation of the normal contractions of the intestinal muscles, leading to a buildup of gas and fluid in the intestines. This can cause abdominal distension, pain, and vomiting. The etiology of post-operative ileus is multifactorial, involving factors such as surgical trauma, anesthesia, pain, and the release of various hormones and neurotransmitters that affect intestinal motility.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided.
* **Option B:** While **infection** is a potential complication of ileostomy, it is not typically considered an early post-operative complication.
* **Option C:** **Hemorrhage** is a potential complication of surgery, but it is not directly related to ileostomy.
* **Option D:** **Obstruction** is a potential complication of ileostomy, but it is not typically considered an early post-operative complication.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that post-operative ileus is a common complication of abdominal surgery, including ileostomy creation, and can be managed with conservative measures such as bowel rest, hydration, and pain control.
**Correct Answer:** B. Infection