A rare case of intussusception through a prolapsed end colostomy. Issue 7 (19th July 2021)

• Record Type: Journal Article
• Authors: Temperley, Hugo; Waters, Caitlin; Murray, Cian; Donlon, Noel E; Donohoe, Claire L
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 7(2021)
• Publication Date: 2021-07-19
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjab319
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Intussusception through a prolapsed end colostomy is amongst the rarest of stoma complications. In this case report, we discuss the therapeutic approach to this complication and provide an update of the existing literature. A 66-year-old male presented with a prolapsed colostomy that was ischaemic in appearance. Intraoperatively, a small bowel intussusception within the prolapsed colon was identified. A subtotal colectomy was subsequently performed to prevent further volvulus formation. When patients present with a prolapsing oedematous enterostomy that cannot be reduced, careful clinical examination is required. If there is vascular compromise, exploratory laparotomy is mandatory.