A Case of Prolapse of Ileostomy with Incarcerated Intussusception Associated with Necrosis

Abstract

A 90-year-old man underwent ileocecal resection with an ileostomy for acute perforated panperitonitis due to appendiceal mucinous neoplasm in our hospital. Nine months after the surgery, he presented with prolapse of the ileostomy with the dark-colored top. The physical findings revealed prolapse of the ileostomy with incarcerated intussusception, which was impossible to be reduced manually. We emergently resected the necrotic and poor-circulated part of the protruded ileum, followed by anastomosis of the opposite cut-ends without opening the abdominal cavity. The intussusception was reduced by hand. The patient's postoperative course was uneventful, and the disease has not recurred. This procedure does not need laparotomy, is less invasive and can be a good selection for the disease. We present a case of prolapse of an ileostomy with incarcerated intussusception, which was successfully treated with local resection and reconstruction of the protruded ileum without laparotomy, with the review of the related literature.