Which sign listed as a reportable emergent symptom indicates possible stomal necrosis?

• A. Color changes of stoma indicative of necrosis
• B. Reduced output
• C. Abdominal pain
• D. N/V

Answer: (A)

The sign that clearly signals possible stomal necrosis is color changes of the stoma. A healthy stoma is pink to red and moist, reflecting good blood flow. If the tissue becomes dusky, pale, purple, or black, that indicates compromised perfusion and tissue death, which is an urgent emergency needing immediate evaluation. This discoloration is a direct sign of viability loss and can progress quickly, so it warrants prompt clinician involvement and potential intervention.

The other symptoms are far less specific. Reduced output can stem from stoma obstruction, dehydration, or appliance issues. Abdominal pain and nausea/vomiting can accompany many conditions and don’t specifically point to tissue necrosis. So the presence of color change signaling necrosis is the strongest, most time-sensitive indicator that requires urgent assessment.