Reduction of an incarcerated, prolapsed ileostomy with the assistance of sugar as a desiccant.
Prolapse is a well-described complication after ileostomy or colostomy, and is typically asymptomatic and easily reduced. Acute incarceration of a prolapsed stoma is a rare event, however. A patient presented with an incarcerated, prolapsed ileostomy causing small bowel obstruction and stomal ischemia. Successful reduction was performed with the assistance of sugar as a desiccant. Incarceration of a prolapsed ileostomy is highly atypical, but can be approached in a similar manner to an incarcerated rectal prolapse. Successful reduction can prevent an emergent operation, allowing for medical optimization and elective surgical treatment if necessary.
Shapiro
R
R
Department of Surgery, Mount Sinai Medical Center, New York, NY, USA. ronash@gmail.com
Chin
E H
EH
Steinhagen
R M
RM
D000368:Aged; D015179:Colorectal Neoplasms / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D016737:Proctocolectomy, Restorative / Q000009:adverse effects / Q000379:methods; D011391:Prolapse; D013395:Sucrose / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D013395:Sucrose