Cutaneous T-cell lymphoma associated with ileostomy: management of uncommon stomal complication.
OBJECTIVE
Cutaneous T-cell lymphoma involvement of an ileostomy is a rare stomal complication.


METHODS
We present the case of a 54-year-old man who presented with peristomal skin breakdown associated with fevers and chills.


RESULTS
The stoma was taken down, and the surrounding skin debrided. A new ileostomy was created in left abdominal wall. Pathology specimens of the debrided skin, subcutaneous tissue, and stoma returned positive for cutaneous T-cell lymphoma.


CONCLUSIONS
The medical treatment of the underlying T-cell lymphoma can give a good diagnosis when it is diagnosed early, but late-stage identification is less encouraging. The surgical treatment involves debridement and careful planning for ileostomy formation.
Bruun
John S
JS
Department of Surgery, David Grant Medical Center, Travis Air Force Base, California, USA.
Rorabaugh
James D
JD