Intestinal Perforation Following Ileoscopy Through a Prolapsed Stoma in an Pediatric Intestinal Transplant Recipient With an Unrecognized Parastomal Hernia.
Ileoscopy with mucosal biopsy is fundamental in the management and surveillance of inflammatory bowel disease patients and intestinal transplant recipients. There is a paucity of data describing the risks of ileoscopy in the presence of a prolapsed stoma. Parastomal hernias are frequently associated with prolapsed stomas. We report the first case of perforation during ileoscopy in the setting of a prolapsed stoma and unrecognized parastomal hernia. Recognition of parastomal hernia associated with stoma prolapse is of paramount importance in patients undergoing ileoscopy as it may increase the risk of perforation.
Department of Pediatrics, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Pavni
P
Mehrotra
Pediatric Gastroenterology, Hepatology, and Nutrition, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Joanna
J
Yeh
Department of Radiology, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Theodore R
TR
Hall
Division of Liver and Pancreas Transplantation, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Vatche G
VG
Agopian
Division of Liver and Pancreas Transplantation, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Douglas G
DG
Farmer
Pediatric Gastroenterology, Hepatology, and Nutrition, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Elizabeth A
EA
Marcus
Pediatric Gastroenterology, Hepatology, and Nutrition, David Geffen School of Medicine, UCLA, Los Angeles, CA; Division of Liver and Pancreas Transplantation, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Robert S
RS
Venick
Pediatric Gastroenterology, Hepatology, and Nutrition, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Laura J
LJ
Wozniak