Stoma Prolapse during Chemotherapy for Advanced Colon Cancer Treated with the Modified Altemeier Method—A Case Report—

Abstract

A 73-year-old woman undergoing chemotherapy for colorectal cancer with peritoneal dissemination developed small bowel obstruction due to a worsening of peritoneal dissemination. Partial resection of the jejunum and loop ileostomy were performed, however, 2 months after the surgery, stoma prolapse occurred. As manual reduction was ineffective, emergency surgery was performed. The operative technique was based on the Altemeier method for rectal prolapse. The patient underwent resection of the prolapsed intestine from the stoma side without making a skin incision, and the reconstruction was performed with an automated anastomotic device. The postoperative course was unremarkable. The patient was discharged on the postoperative day 12 and was able to resume outpatient chemotherapy from the postoperative day 20. This technique is considered a promising option for stomal prolapse because it does not require intraperitoneal manipulation, is minimally invasive and relatively simple, and does not cause any changes in postoperative stoma care.