He received fluid resuscitation, antibiotic therapy, anti-tetanus, and nutritional support, and underwent CT scan in order to determine exactly what surgery had been performed previously. CT scan confirmed resection of the ascending colon and showed no intra-abdominal sepsis.

In order to facilitate healing of the abdominal skin and improve nutrition, laparotomy to restore the continuity of the bowel was planned.

At laparotomy, there was no evidence of abdominal sepsis or fistulation. After the division of extensive adhesions, it became evident that the patient had undergone resection of the ascending and transverse colon. The small bowel was intact, and he had an end ileostomy. Ileocolic anastomosis was performed.