A Case of Stomal Prolapse Successfully Managed With an Ostomy Pouch Covered With a Pantyhose

Abstract

Stomal prolapse is a common complication of enterostomies. Re-enterostomy or fixation of prolapsed intestine is usually performed for stomal prolapse, but they are invasive for patients. In pediatric cases, stomas are often temporary, and thus nonsurgical treatment is sometimes selected. We report a case of stomal prolapse successfully managed with an ostomy pouch covered with a pantyhose. A 2-month-old boy with both trisomy 13 and tetralogy of Fallot had jejunostomy for hypoganglionosis on his birth day. He had been managed with mechanical ventilation because of heart failure. After extubation, stomal prolapse occurred. We tried to manage the patient with an ostomy pouch using a pantyhose and this treatment prevented stomal prolapse without intestinal damage until re-enterostomy. This method using a pantyhose affixed onto an ostomy pouch is easy to perform and is inexpensive. From our experience, this conservative method using a pantyhose may be very useful for the management of stomal prolapse.