Question: A 64-year-old woman presented to a local emergency department after noting large-volume passage of bright red blood from her colostomy site over several days. She denied any associated abdominal pain, recent changes in bowel pattern, nausea, vomiting, orthostatic symptoms, abdominal trauma, NSAID use, or recent manipulation of the ostomy concurrent with her symptoms. Her past medical history was significant for hypertension and remote stage 1B cervical cancer complicated by radiation-induced enteritis, proctitis, and terminal ileal stricture.