Which of the following would likely require a colostomy?

A colostomy is a surgical procedure that involves creating an opening from the colon to the abdominal wall, allowing waste to exit the body into a colostomy bag. This procedure is often necessary in cases where a part of the colon must be removed or bypassed due to disease or damage.

Colon cancer is a leading reason for performing a colostomy because the presence of cancer can necessitate the removal of a portion of the colon. If the tumor is located in a section of the colon that cannot be preserved for normal function, a colostomy may be created to provide an alternative route for waste elimination. This can be a necessary step to ensure that the cancer is fully treated, whether through resection (removal of the cancerous segment) followed by the creation of a stoma, or due to obstruction caused by the tumor.

In contrast, conditions such as appendicitis, diverticulitis, and peptic ulcer disease typically do not require a colostomy. Appendicitis involves the removal of the appendix and is usually resolved without the need for such an opening. Diverticulitis may be managed with dietary changes, medications, or in severe cases, surgery that may not include colostomy creation unless complications arise. Pe