2023 Volume 39 Issue 3 Pages 162-168
Background: Stoma prolapse is a common late complication of stomal construction. It is one of the most difficult complications to manage because it impairs a patient’s quality of life and rarely improves with conservative therapy. Surgical treatment is often required, but no standard treatment has been established to date. We report a case of loop transverse colon stoma prolapse repaired by a simple procedure.
Case: A 70-year-old man was referred to our department with rectal invasion and stenosis due to bladder cancer, and transverse loop colostomy was performed. Although stoma prolapse developed on the 5th day postoperatively, it was successfully repaired surgically with a modified Altemeier’s procedure, which is usually performed for rectal prolapse.
Discussion: This procedure can be performed from the original stoma hole as a simple, minimally invasive surgery. In addition, risk of intestinal necrosis and recurrence is considered low. Typically, the patient can resume stoma care soon after surgery.
Conclusion: This method should be considered as a useful treatment option for stomal prolapse.
