title: [Adenicarcinoma in an ileostomy 41 years after proctocolectomy due to familial adenomatous polyposis].
abstract: This casestory describes a complication 41 years after a proctocolectomy due to familial adenomatous polyposis. Due to a granuloma the patient experienced problems in bandaging his ileostomy. The granuloma was excised, and a histologic examination revealed an adenocarcinoma. A small bowel resection was performed and 30 cm of the ileum was removed along with 3 cm of surrounding peristomal tissue. The patient did not wish to move the ileostomy, and a peristomal hernia occured. The recommendation is to excise the stoma including a tube of the surrounding tissue and to move the new stoma to another location, thereby reducing the risk of stomal hernia.
authors.affiliation: Kirurgisk Afdeling D, Kolding Sygehus, Skovvangen 2, 6000 Kolding. luxhoi666@msn.com.
authors.forename: Jan
authors.initials: J
authors.lastname: Luxhøi
authors.forename: Niels
authors.initials: N
authors.lastname: Buch
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011125:Adenomatous Polyposis Coli / Q000150:complications / Q000601:surgery*; D000368:Aged; D006099:Granuloma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007081:Ileostomy; D000069290:Incisional Hernia / Q000209:etiology; D008297:Male; D016737:Proctocolectomy, Restorative